DR. JAMES VICTOR HAMILTON II M.D. NPI 1679545131

Obstetrics & Gynecology (Gynecology) in Alexander City, AL

NPI 1679545131 Individual Male Years of Experience 51 Obstetrics & Gynecology Gynecology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About JAMES HAMILTON

James Hamilton is a women's health care provider established in Alexander City, Alabama and his medical specialization is obstetrics & gynecology (gynecology) with more than 51 years of experience. He graduated from University Of Alabama School Of Medicine in 1971. The NPI number of James Hamilton is 1679545131 and was assigned on February 2006. The practitioner's primary taxonomy code is 207VG0400X with license number 5968 (AL). The provider is registered as an individual and his NPI record was last updated 11 years ago.

Women's health care providers like Dr. James Victor Hamilton Ii M.d. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

James Hamilton is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

James Hamilton is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Russell Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: preventive care and screening: body mass index (bmi) screening and follow-up plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1679545131

Provider NameDR. JAMES VICTOR HAMILTON II M.D.
Provider Location Address44 ALIANT PKWY ALEXANDER CITY, AL 35010
Provider Mailing AddressPO BOX 789 ALEXANDER CITY, AL 35011
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year1971
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-07-2006
Last Update Date03-17-2011


Primary Taxonomy

Taxonomy Code207VG0400X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
SpecializationGynecology
License No.5968
License StateAL

Business Address

DR. JAMES VICTOR HAMILTON II M.D.
44 ALIANT PKWY
ALEXANDER CITY, AL
ZIP 35010
Phone: (256) 234-4131
Fax: (256) 234-9979

Get Directions


Mailing Address

DR. JAMES VICTOR HAMILTON II M.D.
PO BOX 789
ALEXANDER CITY, AL
ZIP 35011
Phone: (256) 234-4131
Fax: (256) 234-9979



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8820158660
PECOS Enrollment IDI20090105000255
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 269Removal of tissue from wounds per session (HCPCS:97597)
  • 73Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • 40Automated urinalysis test (HCPCS:81003)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 42% 26
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. James Hamilton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
RUSSELL MEDICAL CENTER3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7100Acute Care Hospitals10065

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000077835MEDICARE ID-TYPE UNSPECIFIED (04)AL
000077835MEDICAID (05)AL
C74796MEDICARE UPIN (02)AL

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811907579 JOHN M JAMES M.D.
Individual
Family Medicine44 ALIANT PKWY
ALEXANDER CITY, AL 35010
(256) 234-4131
1245336676 AMY R SASSANO CRNP
Individual
Nurse Practitioner (Family)44 ALIANT PKWY
ALEXANDER CITY, AL 35010
(256) 234-4131
1790939684 BRANDI ALYSE CRAWFORD CRNP
Individual
Nurse Practitioner (Family)44 ALIANT PKWY
ALEXANDER CITY, AL 35010
(256) 234-4131
1316212764 WANDA MICHELLE PATTERSON CRNP
Individual
Nurse Practitioner (Family)44 ALIANT PKWY
ALEXANDER CITY, AL 35010
(256) 234-4131
1013271279 SHEENA C HUNTER CRNP
Individual
Nurse Practitioner (Family)44 ALIANT PKWY
ALEXANDER CITY, AL 35010
(256) 234-4131
1659662575DR. ROBERT JOSEPH EDWARDS M.D.
Individual
Family Medicine44 ALIANT PKWY
ALEXANDER CITY, AL 35010
(256) 234-4131
1699197442MS. BLAIR TAYLOR GILLILAND CRNP
Individual
Clinical Nurse Specialist (Family Health)44 ALIANT PKWY
ALEXANDER CITY, AL 35010
(256) 234-4131
1427154723PRICARE, PA
Organization
Family Medicine44 ALIANT PKWY
ALEXANDER CITY, AL 35010
(256) 234-4131

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.