DR. ABIGAIL RUTH HAMILTON MD
NPI 1669663787
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Tucson, AZ

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
5301 E GRANT RD, TUCSON, AZ 85712(520) 784-6200(520) 784-6109 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2016, Mar 31, 2016 (2 updates tracked since 2016).

About Dr. Abigail Ruth Hamilton Md NPPES

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

DR. ABIGAIL RUTH HAMILTON MD (NPI 1669663787) is an individual adult reconstructive orthopaedic surgery provider in Tucson, Arizona, licensed in Arizona (59793) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2005).

NPPES Registry Identity

NPI1669663787
Entity TypeIndividualFemale
Primary Taxonomy207XS0114X
Provider Legal NameDR. ABIGAIL RUTH HAMILTONCredential: MD
Location Address5301 E GRANT RDTucson, AZ 85712-2805
Mailing AddressPo Box 31630Tucson, AZ 85751-1630 · (520) 784-6200 · Fax (520) 784-6109
Fax(520) 784-6109
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2005
Enumeration DateAugust 5, 2007
Last NPPES UpdateApril 23, 20252 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
NPI 1669663787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
Licenses Licensed in AZ · 59793 Licensed in MN · 52788
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 59793 (AZ)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 52788 (MN), 59793 (AZ)
5301 E GRANT RD, Tucson, AZ 85712

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. Abigail Ruth 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 ID2062604762
PECOS Enrollment IDI20200323002693
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 8

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
252 services119 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.
147 services105 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.
86 services76 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.
64 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients

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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

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.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$115.09 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.

Anesthesiology
5301 E GRANT RD, THMEP
TUCSON, AZ 85712
Pharmacist
5301 E GRANT RD
TUCSON, AZ 85712
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Internal Medicine
5301 E GRANT RD
TUCSON, AZ 85712
Registered Nurse (Lactation Consultant)
5301 E GRANT RD
TUCSON, AZ 85712
Nurse Practitioner (Family)
5301 E GRANT RD
TUCSON, AZ 85712
Nurse Practitioner (Gerontology)
5301 E GRANT RD
TUCSON, AZ 85712

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 Abigail Hamilton's NPI number?

The NPI number for Abigail Hamilton is 1669663787. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Abigail Hamilton located?

Abigail Hamilton practices at 5301 E Grant Rd, Tucson, AZ 85712. The listed phone number is (520) 784-6200.

What is Abigail Hamilton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Abigail Hamilton enrolled in Medicare?

Yes. Abigail 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 Abigail Hamilton accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Abigail 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 Abigail Hamilton was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.