DAVID A HAMILTON SR. M.D.
NPI 1497858641
Obstetrics & Gynecology - Reproductive Endocrinology in Elizabethtown, KY


Quality Rating: 95.5 out of 100 score

NPI Status: Active since September 06, 2006

Contact Information

1115 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 769-5963
Fax: (270) 769-9051

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  • Individual
  • Male
  • Obstetrics & Gynecology
  • Reproductive Endocrinology

About DAVID HAMILTON

This page provides the complete NPI Profile along with additional information for David Hamilton, a women's health care provider established in Elizabethtown, Kentucky with a medical specialization in Obstetrics & Gynecology, focusing in reproductive endocrinology . The healthcare provider is registered in the NPI registry with number 1497858641 assigned on September 2006. The practitioner's primary taxonomy code is 207VE0102X with license number 34894 (KY). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1497858641
Provider Name
DAVID A HAMILTON SR. M.D.
Gender
Male
Entity Type
Individual
Location Address
1115 WOODLAND DR ELIZABETHTOWN, KY 42701
Location Phone
(270) 769-5963
Location Fax
(270) 769-9051
Mailing Address
1115 WOODLAND DR ELIZABETHTOWN, KY 42701
Mailing Phone
(270) 769-5963
Mailing Fax
(270) 769-9051
Is Sole Proprietor?
No
Enumeration Date
09-06-2006
Last Update Date
01-09-2010
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Women's health care providers like David Hamilton treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Reproductive Endocrinology

Taxonomy Code
207VE0102X
Type
Allopathic & Osteopathic Physicians
License No.
34894
License State
KY
Taxonomy Description
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0679462MEDICARE ID-TYPE UNSPECIFIED (04)KY 
64052798MEDICAID (05)KY 
H63934MEDICARE UPIN (02) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 11 times for 11 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 18 times for 12 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.5, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 95.5 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 89.59

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for DAVID A HAMILTON SR. M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497858641, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 1 + 6 + 5 + 1 + 6 + 6 + 8 + 24 = 79

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1497858641.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Obstetrics & Gynecology (Gynecology)
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Obstetrics & Gynecology (Reproductive Endocrinology)
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Clinic/Center
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Obstetrics & Gynecology (Reproductive Endocrinology)
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Nurse Practitioner (Obstetrics & Gynecology)
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Obstetrics & Gynecology (Reproductive Endocrinology)
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Nurse Practitioner (Obstetrics & Gynecology)
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Obstetrics & Gynecology
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Nurse Practitioner
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Nurse Practitioner
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Nurse Practitioner (Family)
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Obstetrics & Gynecology
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Obstetrics & Gynecology
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701
Obstetrics & Gynecology
1115 WOODLAND DR
ELIZABETHTOWN, KY 42701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497858641, enumerated as an "individual" on September 06, 2006.

The provider is located at 1115 WOODLAND DR ELIZABETHTOWN, KY 42701 and the phone number is (270) 769-5963.

Obstetrics & Gynecology with taxonomy code 207VE0102X and a focus in Reproductive Endocrinology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.