BREIONA HAMILTON MHS, MD
NPI 1457938334
Radiology - Diagnostic Radiology in Madison, WI
About Breiona Hamilton Mhs, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREIONA HAMILTON MHS, MD (NPI 1457938334) is an individual diagnostic radiology provider in Madison, Wisconsin, licensed in Wisconsin (87123) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Meharry Medical College School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Breiona Hamilton Mhs, 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.
Medicare Billing Reassignments
2Medicare enrollment records show Breiona Hamilton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53717
- Reassigned Medicare billing, Wisconsin enrollment
- 422 clinicians in this Medicare group
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MADISON, WI 53792
MADISON, WI 53792
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 Breiona Hamilton's NPI number?
The NPI number for Breiona Hamilton is 1457938334. It was assigned to this individual provider in the NPPES registry on March 26, 2021.
Where is Breiona Hamilton located?
Breiona Hamilton practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-0899.
What is Breiona Hamilton's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Breiona Hamilton enrolled in Medicare?
Yes. Breiona 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.
Which organizations bill Medicare for Breiona Hamilton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breiona Hamilton reassigns Medicare benefits to 2 organizations: Group Health Cooperative Of South Central Wisconsin (Madison, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Breiona Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Breiona Hamilton accept?
Health plans from Group Health Cooperative-SCW list Breiona 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 Breiona Hamilton affiliated with any hospitals?
According to CMS data, Breiona Hamilton is affiliated with University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Breiona Hamilton was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Breiona Hamilton, MHS, MD · NPI 1457938334
Diagnostic Radiology physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since March 26, 2021.
## Identity
- **NPI:** 1457938334 (Entity type: Individual)
- **Enumerated:** March 26, 2021
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 87123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 HIGHLAND AVE, Madison, WI 53792-0001
- **Phone:** (608) 263-0899
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Group Health Cooperative Of South Central Wisconsin (NPI 1245260165, Madison, WI); University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** May 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457938334) · Data from the CMS NPPES public registry.