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DR. CLAUDE WINCHESTER HAMILTON M.D.
NPI 1518074087
Internal Medicine in Park Ridge, IL

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
8.54/100
CMS Quality Rating
1400 RENAISSANCE DR, SUITE 216, PARK RIDGE, IL 60068(224) 938-9264(224) 938-9266 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Claude Winchester Hamilton M.d. NPPES

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

DR. CLAUDE WINCHESTER HAMILTON M.D. (NPI 1518074087) is an individual internal medicine provider in Park Ridge, Illinois, licensed in Illinois (036081593) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1980).

NPPES Registry Identity

NPI1518074087
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CLAUDE WINCHESTER HAMILTONCredential: M.D.
Location Address1400 RENAISSANCE DR, SUITE 216Park Ridge, IL 60068-1329
Mailing Address1400 Renaissance Dr, Suite 216Park Ridge, IL 60068-1329 · (224) 938-9264 · Fax (224) 938-9266
Phone(224) 938-9264
Fax(224) 938-9266
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1980
Enumeration DateAugust 23, 2006
Last NPPES UpdateMay 9, 2012
✔ NPI 1518074087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036081593
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1400 RENAISSANCE DR, Park Ridge, IL 60068
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Other Identifiers 1

Medicare UPINH98569IL

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

Dr. Claude Winchester 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 ID3678468576
PECOS Enrollment IDI20040219000227
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 7

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
612 services145 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
591 services233 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
464 services66 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
217 services184 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
63 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

8.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost28.47

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier49 claims49 services$18.02 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier51 claims347 services$35.04 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers40 claims140 services$6.17 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers30 claims30 services$2.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers32 claims62 services$1.11 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers26 claims52 services$52.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. YULEUNG ERIC TO PSY.D.
Psychologist (Clinical)
1400 RENAISSANCE DR, SUITE 104
PARK RIDGE, IL 60068
Cook County (224) 625-0280
MR. EMIL KIRILOV SLAVKOV LMT, L.AC
Acupuncturist
1400 RENAISSANCE DR, SUITE 102
PARK RIDGE, IL 60068
Cook County (847) 962-9199
DR. ROBERT BRUCE CAMPBELL PSY.D., M.DIV.
Psychologist (Clinical)
1400 RENAISSANCE DR, SUITE 401
PARK RIDGE, IL 60068
Cook County (847) 318-8200
HEALING HANDS PHYSICIANS, INC.
Home Health
1400 RENAISSANCE DR, SUITE 216
PARK RIDGE, IL 60068
Cook County (224) 938-9264
MS. TONI A GIOVANNINI MSW
Social Worker
1400 RENAISSANCE DR, SUITE 101
PARK RIDGE, IL 60068
Cook County (847) 899-8284
MS. JENNIFER EILEEN MIESZALA LCSW, CADC
Social Worker (Clinical)
1400 RENAISSANCE DR, #101
PARK RIDGE, IL 60068
Cook County (847) 963-9639
JENNIFER HAUGHEY LCPC
Counselor (Professional)
1400 RENAISSANCE DR, SUITE 400
PARK RIDGE, IL 60068
Cook County (847) 318-8200
ROZA KOSTADINOVA AZMANOVA L.AC.
Acupuncturist
1400 RENAISSANCE DR, SUITE 102
PARK RIDGE, IL 60068
Cook County (224) 381-6319

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 Claude Hamilton's NPI number?

The NPI number for Claude Hamilton is 1518074087. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Claude Hamilton located?

Claude Hamilton practices at 1400 Renaissance Dr Suite 216, Park Ridge, IL 60068. The listed phone number is (224) 938-9264.

What is Claude Hamilton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Claude Hamilton enrolled in Medicare?

Yes. Claude 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.

When was this NPI record last updated?

The NPPES record for Claude Hamilton was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.