SUSAN E HAMILTON
NPI 1740627132
Nurse Practitioner - Family in Columbus, OH

Active since May 27, 2013PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
460 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8000 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan E Hamilton NPPES

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

SUSAN E HAMILTON (NPI 1740627132) is an individual family provider in Columbus, Ohio, licensed in Maine (CNP211439) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of Ohio State University College Of Medicine (2013).

NPPES Registry Identity

NPI1740627132
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN E HAMILTON
Location Address460 W 10TH AVEColumbus, OH 43210-1240
Mailing Address6416 Angelica WayWesterville, OH 43081-4377 · (614) 406-7079
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2013
Enumeration DateMay 27, 2013
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 22, 2024
NPI 1740627132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in ME · CNP211439 Licensed in OH · COA.14639-NP Licensed in VA · 0024190203
Also ListedRegistered NurseTaxonomy 163W00000X · License 379668 (OH)
460 W 10TH AVE, Columbus, OH 43210

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

Susan E Hamilton 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 ID2860623659
PECOS Enrollment IDI20140319001896
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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services37 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services11 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.
18 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hospice and Palliative Medicine)
460 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hematology)
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner (Family)
460 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210

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 Susan Hamilton's NPI number?

The NPI number for Susan Hamilton is 1740627132. It was assigned to this individual provider in the NPPES registry on May 27, 2013.

Where is Susan Hamilton located?

Susan Hamilton practices at 460 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8000.

What is Susan Hamilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan Hamilton enrolled in Medicare?

Yes. Susan 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 Susan Hamilton accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 1 other insurer list Susan 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.

Is Susan Hamilton affiliated with any hospitals?

According to CMS data, Susan Hamilton is affiliated with Mercy Health-St Rita's Medical Center and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Susan Hamilton was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.