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DR. HERBERT E HAMILTON M.D.
NPI 1487680559
Radiology - Diagnostic Radiology in Edina, MN

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
3600 MINNESOTA DR STE 800, EDINA, MN 55435(952) 595-1100(612) 294-4903 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Herbert E Hamilton M.d. NPPES

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

DR. HERBERT E HAMILTON M.D. (NPI 1487680559) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in Oklahoma (19120) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ozarks Healthcare, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1985).

NPPES Registry Identity

NPI1487680559
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. HERBERT E HAMILTONCredential: M.D.
Location Address3600 MINNESOTA DR STE 800Edina, MN 55435-7915
Mailing Address3600 Minnesota Dr Ste 800Edina, MN 55435-7915 · (952) 595-1100 · Fax (612) 294-4903
Phone(952) 595-1100
Fax(612) 294-4903
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1985
Enumeration DateJune 23, 2006
Last NPPES UpdateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1487680559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OK · 19120
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3600 MINNESOTA DR STE 800, Edina, MN 55435
Open in Google Maps ↗

Other Identifiers 1

Medicaid100823960BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Priority Health.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

Dr. Herbert E Hamilton M.d. 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 ID5799726444
PECOS Enrollment IDI20070801000348
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Herbert Hamilton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtual Radiologic Professionals LLC
Same address
Diagnostic Radiology
3600 MINNESOTA DR STE 800
Edina, MN 55435
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group
NPI 1154591139 (952) 595-1301
Radiology Consultants Of Tulsa Inc
619 mi
Diagnostic Radiology
5801 E 41ST ST STE 900
Tulsa, OK 74135
  • Reassigned Medicare billing, Oklahoma enrollment
  • 29 clinicians in this Medicare group
NPI 1487641890 (918) 747-4975
Warren General Hospital
743 mi
Diagnostic Radiology
2 W CRESCENT PARK
Warren, PA 16365
  • Reassigned Medicare billing, Oklahoma enrollment
  • 2 clinicians in this Medicare group
NPI 1811600307 (814) 723-3300
Geisinger Clinic
888 mi
Diagnostic Radiology
100 N ACADEMY AVE
Danville, PA 17822
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1558313023 (570) 271-6211
Vermont Diagnostic Imaging LLC
993 mi
Radiology
426 INDUSTRIAL AVE STE 131
Williston, VT 05495
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1295622330 (802) 988-7226

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 5

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

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipPhysician
CMS Certification Number370215
Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

CHRISTOPHER CALIXTE MD
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1100
PAUL D GUISLER MD
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1301
KRISHNA VAIDYANATHAN IYER M.D.
Radiology (Vascular & Interventional Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1100
RATI NARENDRA PATEL MD
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1301
SUSANNE S. KIM M.D.
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1301
GWENDOLYN DURGIN MD
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1301
ROBERT L EDWARDS M.D.
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1100
STEPHEN GEORGE FOX M.D.
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1100

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 Herbert Hamilton's NPI number?

The NPI number for Herbert Hamilton is 1487680559. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Herbert Hamilton located?

Herbert Hamilton practices at 3600 Minnesota Dr Ste 800, Edina, MN 55435. The listed phone number is (952) 595-1100.

What is Herbert Hamilton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Herbert Hamilton enrolled in Medicare?

Yes. Herbert 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 Herbert Hamilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Herbert Hamilton reassigns Medicare benefits to 5 organizations: Virtual Radiologic Professionals LLC (Edina, MN), Radiology Consultants Of Tulsa Inc (Tulsa, OK), Warren General Hospital (Warren, PA), Geisinger Clinic (Danville, PA) and Vermont Diagnostic Imaging LLC (Williston, VT). 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 Herbert Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Herbert Hamilton accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Priority Health list Herbert 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 Herbert Hamilton affiliated with any hospitals?

According to CMS data, Herbert Hamilton is affiliated with Ozarks Healthcare, Oklahoma Heart Hospital, LLC, Self Regional Healthcare, Central Vermont Medical Center and Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Herbert Hamilton was last updated on April 3, 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.