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THOMAS KYLE HAMILTON M.D., M.SC.
NPI 1457745929
Otolaryngology in Fort Thomas, KY

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
40 N GRAND AVE, STE 101, FORT THOMAS, KY 41075(513) 475-8400(513) 475-8228 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2021, Apr 14, 2020 (2 updates tracked since 2020).

About Thomas Kyle Hamilton M.d., M.sc. NPPES

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

THOMAS KYLE HAMILTON M.D., M.SC. (NPI 1457745929) is an individual otolaryngology provider in Fort Thomas, Kentucky, licensed in Kentucky (53608) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1457745929
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTHOMAS KYLE HAMILTONCredential: M.D., M.SC.
Location Address40 N GRAND AVE, STE 101Fort Thomas, KY 41075-1765
Mailing Address40 N Grand Ave, Ste 101Fort Thomas, KY 41075-1765 · (513) 475-8400 · Fax (513) 475-8228
Phone(513) 475-8400
Fax(513) 475-8228
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2015
Enumeration DateMarch 23, 2015
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1457745929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in KY · 53608✔ Licensed in OH · 57.026247
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 53608 (KY)
40 N GRAND AVE, Fort Thomas, KY 41075
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Secondary Practice Location 1

Location 1222 Piedmont Ave, Suite 5200Cincinnati, OH 45219-4231 · Phone (513) 475-8400 · Fax (513) 475-8228

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.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

Thomas Kyle Hamilton M.d., M.sc. 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 ID7810209947
PECOS Enrollment IDI20200420003457, I20200610000141
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 9

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.

Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
160 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
149 services149 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
144 services106 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
63 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services40 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
20 services19 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181311
Location238 Barnes RoadWilliamstown, KY 41097 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41075 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
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.

CERTIFIED HEARING AID CONSULTANTS
Audiologist
40 N GRAND AVE, SUITE 100
FORT THOMAS, KY 41075
Campbell County (859) 572-4103
DR. THOMAS MILTON MAYER M.D., FACS
Otolaryngology
40 N GRAND AVE, SUITE 101
FORT THOMAS, KY 41075
Campbell County (859) 781-4900
DR. PERRY STEPHEN POTEET M.D.
Otolaryngology
40 N GRAND AVE, STE.101
FORT THOMAS, KY 41075
Campbell County (937) 475-3327
DR. PATRICK JAMES HAAS M.D.
Otolaryngology
40 N GRAND AVE, SUITE 103
FORT THOMAS, KY 41075
Campbell County (859) 572-3031
DR. MICHAEL ANTHONY DOMET M.D.
Otolaryngology
40 N GRAND AVE, SUITE 101
FORT THOMAS, KY 41075
Campbell County (859) 781-4900
MRS. LINDSAY FLAHERTY AU.D
Audiologist
40 N GRAND AVE
FORT THOMAS, KY 41075
Campbell County (859) 344-4440
TERRY V. GRUELLE P.S.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
40 N GRAND AVE, SUITE 301
FORT THOMAS, KY 41075
Campbell County (859) 441-2369
ALLIANCE PRIMARY CARE
Surgery
40 N GRAND AVE, SUITE 202
FORT THOMAS, KY 41075
Campbell County (859) 781-2628

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 Thomas Hamilton's NPI number?

The NPI number for Thomas Hamilton is 1457745929. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Thomas Hamilton located?

Thomas Hamilton practices at 40 N Grand Ave Ste 101, Fort Thomas, KY 41075. The listed phone number is (513) 475-8400.

What is Thomas Hamilton's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Thomas Hamilton enrolled in Medicare?

Yes. Thomas 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 Thomas Hamilton accept?

Health plans from MedMutual list Thomas 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 Thomas Hamilton affiliated with any hospitals?

According to CMS data, Thomas Hamilton is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Thomas Hamilton was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.