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OLIVIA DANIELLE HAMILTON
NPI 1740667468
Family Medicine in Pikeville, KY

Active since May 01, 2015PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
911 BYPASS RD, PIKEVILLE, KY 41501(606) 218-3500(606) 218-4697 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 17, 2018, Nov 9, 2017 (2 updates tracked since 2017).

About Olivia Danielle Hamilton NPPES

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

OLIVIA DANIELLE HAMILTON (NPI 1740667468) is an individual family medicine provider in Pikeville, Kentucky, licensed in Kentucky (04124) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains a secondary practice location in Pikeville.

NPPES Registry Identity

NPI1740667468
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameOLIVIA DANIELLE HAMILTON
Location Address911 BYPASS RDPikeville, KY 41501-1689
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 218-3500 · Fax (606) 218-4562
Phone(606) 218-3500
Fax(606) 218-4697
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2018
Enumeration DateMay 1, 2015
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1740667468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 04124
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
911 BYPASS RD, Pikeville, KY 41501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1184 S Mayo TrlPikeville, KY 41501-1518 · Phone (606) 218-3985

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Olivia Danielle 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 ID4486911351
PECOS Enrollment IDI20171130002604
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 5

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.

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.
315 services163 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
199 services165 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
101 services101 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.
93 services91 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.
42 services29 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%57 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$58.69 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers59 claims59 services$17.64 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers15 claims15 services$882.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers54 claims54 services$86.02 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$24.30 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.

ABDEL RAHMAN LATAIFEH MBBS
Internal Medicine (Critical Care Medicine)
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-4524
SELINA A. HOLLEY DIETITIAN
Dietitian, Registered
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500
YOUSOF E ELGARIED MBBS
Internal Medicine (Pulmonary Disease)
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500
LESLIE A. ARNETT APRN
Nurse Practitioner
911 BYPASS RD, CLINIC 2
PIKEVILLE, KY 41501
Pike County (606) 218-6402
KRISTA CORA DOTSON
Registered Nurse
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 430-2201
AARON RATLIFF PHARMD
Pharmacist
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3576
MICHAEL D LUDLOW APRN
Nurse Practitioner
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500
PIKEVILLE MEDICAL CENTER, INC.
Nurse Anesthetist, Certified Registered
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500

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 Olivia Hamilton's NPI number?

The NPI number for Olivia Hamilton is 1740667468. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Olivia Hamilton located?

Olivia Hamilton practices at 911 Bypass Rd, Pikeville, KY 41501. The listed phone number is (606) 218-3500.

What is Olivia Hamilton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Olivia Hamilton enrolled in Medicare?

Yes. Olivia 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 Olivia Hamilton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Olivia 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 Olivia Hamilton affiliated with any hospitals?

According to CMS data, Olivia Hamilton is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Olivia Hamilton was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.