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RANDALL HAMILTON MD
NPI 1518977412
Psychiatry & Neurology - Neurology in Des Moines, IA

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
1111 6TH AVE, EAST TOWER SUITE A100, DES MOINES, IA 50314(515) 358-0011(515) 358-0099 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Randall Hamilton Md NPPES

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

RANDALL HAMILTON MD (NPI 1518977412) is an individual neurology provider in Des Moines, Iowa, licensed in Iowa (30619) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1992).

NPPES Registry Identity

NPI1518977412
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRANDALL HAMILTONCredential: MD
Location Address1111 6TH AVE, EAST TOWER SUITE A100Des Moines, IA 50314-2610
Mailing AddressPo Box 1475Des Moines, IA 50306-1475 · (515) 358-0011 · Fax (515) 358-0099
Phone(515) 358-0011
Fax(515) 358-0099
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1992
Enumeration DateAugust 9, 2006
Last NPPES UpdateMarch 17, 2010
✔ NPI 1518977412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IA · 30619
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1111 6TH AVE, Des Moines, IA 50314
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Randall Hamilton 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.

PECOS PAC ID5991775868
PECOS Enrollment IDI20040728000806
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 6

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
206 services108 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.
62 services56 patients
Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
41 services14 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.
18 services16 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional 95983
This procedure involves a medical professional using electronic equipment to analyze and adjust your implanted neurostimulator, which helps manage nerve activity in your brain, spinal cord, or peripheral nerves. The process typically takes 15 minutes.
16 services11 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Pella Regional Health Center

Critical Access Hospitals · Pella, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number161367
Location404 Jefferson StreetPella, IA 50219 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
1 supplier13 claims728 services$167.43 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 20

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

MERCY CLINICS, INC
Psychiatry & Neurology (Neurology)
1111 6TH AVE, EAST TOWER SUITE A100
DES MOINES, IA 50314
Polk County (515) 358-0011
TODD EBERLE DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8678
JOSEPH JANSKY DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 612-9595
MYLES KAWAMURA DO
Emergency Medicine
1111 6TH AVE, EMERGENCY DEPARTMENT
DES MOINES, IA 50314
Polk County (515) 247-3211
DR. CODY BRUNCLIK DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
TYLER MUMM DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
DR. MITCHELL R. ERICKSON M.D.
Radiology (Neuroradiology)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2667
DR. THERESA MARIE WAHLIG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8409

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 Randall Hamilton's NPI number?

The NPI number for Randall Hamilton is 1518977412. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Randall Hamilton located?

Randall Hamilton practices at 1111 6th Ave East Tower Suite A100, Des Moines, IA 50314. The listed phone number is (515) 358-0011.

What is Randall Hamilton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Randall Hamilton enrolled in Medicare?

Yes. Randall 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 Randall Hamilton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Randall 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 Randall Hamilton affiliated with any hospitals?

According to CMS data, Randall Hamilton is affiliated with Mercyone Des Moines Medical Center and Pella Regional Health Center.

When was this NPI record last updated?

The NPPES record for Randall Hamilton was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.