DR. RICHARD SCOTT HAMILTON M.D.
NPI 1568412823
Ophthalmology - Retina Specialist in Lakeland, FL

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
1910 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 345-4350(863) 345-4353 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2022, Apr 19, 2017 (2 updates tracked since 2017).

About Dr. Richard Scott Hamilton M.d. NPPES

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

DR. RICHARD SCOTT HAMILTON M.D. (NPI 1568412823) is an individual retina specialist in Lakeland, Florida, licensed in Florida (ME95649) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Harvard Medical School (1997).

NPPES Registry Identity

NPI1568412823
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. RICHARD SCOTT HAMILTONCredential: M.D.
Location Address1910 LAKELAND HILLS BLVDLakeland, FL 33805-2902
Mailing Address1910 Lakeland Hills BlvdLakeland, FL 33805-2902 · (863) 345-4350 · Fax (863) 345-4353
Fax(863) 345-4353
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1997
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
NPI 1568412823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in FL · ME95649
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME 95649 (FL)
1910 LAKELAND HILLS BLVD, Lakeland, FL 33805

Secondary Practice Locations 2

Location 15233 US 27 S Ste 2Sebring, FL 33870-5660 · Phone (863) 345-4350 · Fax (863) 345-4353
Location 2410 1st St SWinter Haven, FL 33880-3504 · Phone (863) 345-4350 · Fax (863) 345-4353

Other Identifiers 1

Medicaid275487800FL

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

Dr. Richard Scott 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 ID2668445859
PECOS Enrollment IDI20060922000336
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 11

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
34,140 services117 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,700 services644 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,091 services245 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.
1,079 services314 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.
492 services354 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
426 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

Reported Quality Measures

Advance Care Plan
100%1,462 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%903 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,428 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%2,857 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,143 patients
Patients screened: 100% · 1,143 patients
100%77 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 100% · 1,069 patients
Patients screened: 100% · 1,069 patients
100%24 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%179 patients
Provide Patients Electronic Access to Their Health Information
100%1,162 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Ophthalmology (Retina Specialist)
1910 LAKELAND HILLS BLVD
LAKELAND, FL 33805

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 Richard Hamilton's NPI number?

The NPI number for Richard Hamilton is 1568412823. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Richard Hamilton located?

Richard Hamilton practices at 1910 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 345-4350.

What is Richard Hamilton's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Richard Hamilton enrolled in Medicare?

Yes. Richard 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 Richard Hamilton accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Richard 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 Richard Hamilton was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.