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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TODD M. HAMILTON O.D.
NPI 1649278912
Optometrist in Brunswick, ME

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
82 MAINE ST, BRUNSWICK, ME 04011(207) 729-8474(207) 729-8955 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Todd M. Hamilton O.d. NPPES

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

DR. TODD M. HAMILTON O.D. (NPI 1649278912) is an individual optometrist in Brunswick, Maine, licensed in Maine (OPT875) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2004).

NPPES Registry Identity

NPI1649278912
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TODD M. HAMILTONCredential: O.D.
Location Address82 MAINE STBrunswick, ME 04011-2015
Mailing Address82 Maine StBrunswick, ME 04011-2015 · (207) 729-8474 · Fax (207) 729-8955
Phone(207) 729-8474
Fax(207) 729-8955
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2004
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1649278912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ME · OPT875
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
82 MAINE ST, Brunswick, ME 04011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. Todd M. Hamilton O.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 ID840259776
PECOS Enrollment IDI20041006001332
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 9

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,446 services12 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
146 services146 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
65 services62 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
54 services44 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
36 services36 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%548 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%4,435 patients1/55-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 5

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

DR. MICHELLE A. BRODERICK O.D.
Optometrist
82 MAINE ST
BRUNSWICK, ME 04011
Cumberland County (207) 729-8474
KEVIN W SHUM OD
Optometrist
82 MAINE ST
BRUNSWICK, ME 04011
Cumberland County (207) 729-8474
ANDRE B ACHENBACH O.D.
Optometrist
82 MAINE ST
BRUNSWICK, ME 04011
Cumberland County (207) 729-8474
DR. BLAINE A. LITTLEFIELD O.D.
Optometrist
82 MAINE ST
BRUNSWICK, ME 04011
Cumberland County (207) 729-8474
DR. SARAH HANMER O.D.
Optometrist
82 MAINE ST
BRUNSWICK, ME 04011
Cumberland County (207) 729-8474

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 Todd Hamilton's NPI number?

The NPI number for Todd Hamilton is 1649278912. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Todd Hamilton located?

Todd Hamilton practices at 82 Maine St, Brunswick, ME 04011. The listed phone number is (207) 729-8474.

What is Todd Hamilton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Todd Hamilton enrolled in Medicare?

Yes. Todd 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 Todd Hamilton accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Todd 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 Todd Hamilton was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.