PHILLIP S. HAMILTON MD
NPI 1437513868
Hospitalist in Columbus, OH

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
300 W 10TH AVE, COLUMBUS, OH 43210(614) 293-7499(614) 366-2360 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillip S. Hamilton Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP S. HAMILTON MD (NPI 1437513868) is an individual hospitalist provider in Columbus, Ohio, licensed in Ohio (35.136406) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1437513868
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePHILLIP S. HAMILTONCredential: MD
Location Address300 W 10TH AVEColumbus, OH 43210-1280
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7499
Fax(614) 366-2360
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
NPI 1437513868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35.136406
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
300 W 10TH AVE, Columbus, OH 43210

Secondary Practice Location 1

Location 1410 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-7499 · Fax (614) 366-2360

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Phillip S. Hamilton Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567758824
PECOS Enrollment IDI20190805001572
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
300 W 10TH AVE
COLUMBUS, OH 43210
General Acute Care Hospital
300 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
300 W 10TH AVE
COLUMBUS, OH 43210
Urology
300 W 10TH AVE, 1ST FLOOR
COLUMBUS, OH 43210
Neurological Surgery
300 W 10TH AVE
COLUMBUS, OH 43210
Urology
300 W 10TH AVE
COLUMBUS, OH 43210
Psychiatry & Neurology (Vascular Neurology)
300 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hematology & Oncology)
300 W 10TH AVE
COLUMBUS, OH 43210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Hamilton's NPI number?

The NPI number for Phillip Hamilton is 1437513868. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Phillip Hamilton located?

Phillip Hamilton practices at 300 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-7499.

What is Phillip Hamilton's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Phillip Hamilton enrolled in Medicare?

Yes. Phillip Hamilton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Phillip Hamilton accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Phillip Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Phillip Hamilton affiliated with any hospitals?

According to CMS data, Phillip Hamilton is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Phillip Hamilton was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.