GARY HAMILTON PA
NPI 1528660925
Physician Assistant in Mcallen, TX

Active since November 10, 2020PECOS EnrolledAccepts Medicare Assignment
1309 E RIDGE RD STE 1, MCALLEN, TX 78503(956) 631-8875(956) 683-1502 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 31, 2025, Nov 10, 2020 (2 updates tracked since 2020).

About Gary Hamilton Pa NPPES

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

GARY HAMILTON PA (NPI 1528660925) is an individual physician assistant in Mcallen, Texas, licensed in Texas (PA14076) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1528660925
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGARY HAMILTONCredential: PA
Location Address1309 E RIDGE RD STE 1Mcallen, TX 78503-1518
Mailing AddressPo Box 4830Edinburg, TX 78540-4830 · (956) 631-8875 · Fax (956) 683-1502
Fax(956) 683-1502
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 10, 2020
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
NPI 1528660925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA14076
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1309 E RIDGE RD STE 1, Mcallen, TX 78503

Accepted 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

Gary Hamilton Pa 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 ID9436555778
PECOS Enrollment IDI20210910002468
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
243 services90 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services23 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
36 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 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 15

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

Ophthalmology
1309 E RIDGE RD STE 1
MCALLEN, TX 78503
Ophthalmology
1309 E RIDGE RD STE 1
MCALLEN, TX 78503
Physician Assistant
1309 E RIDGE RD STE 1
MCALLEN, TX 78503
Ophthalmology
1309 E RIDGE RD STE 1
MCALLEN, TX 78503
Physician Assistant
1309 E RIDGE RD STE 1
MCALLEN, TX 78503
Ophthalmology
1309 E RIDGE RD STE 1
MCALLEN, TX 78503
Ophthalmology
1309 E RIDGE RD STE 1
MCALLEN, TX 78503
Optometrist
1309 E RIDGE RD STE 1
MCALLEN, TX 78503

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 Gary Hamilton's NPI number?

The NPI number for Gary Hamilton is 1528660925. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Gary Hamilton located?

Gary Hamilton practices at 1309 E Ridge Rd Ste 1, Mcallen, TX 78503. The listed phone number is (956) 631-8875.

What is Gary Hamilton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gary Hamilton enrolled in Medicare?

Yes. Gary 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 Gary Hamilton accept?

Health plans from Blue Cross and Blue Shield of Texas list Gary 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.

When was this NPI record last updated?

The NPPES record for Gary Hamilton was last updated on June 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.