JOSHUA ANDREW HAMILTON MD
NPI 1871744540
Internal Medicine - Critical Care Medicine in Wright Pat, OH

Q: What is Joshua Hamilton's NPI number?

The NPI number for Joshua Hamilton is 1871744540. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Q: What is Joshua Hamilton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Hamilton was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4881 SUGAR MAPLE DR, ATTN: PULMONARY MEDICINE, WRIGHT PAT, OH 45433(937) 257-1770 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2022, Jun 11, 2018, Nov 13, 2015 (3 updates tracked since 2015).

On this page

About Joshua Andrew Hamilton Md NPPES

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

JOSHUA ANDREW HAMILTON MD (NPI 1871744540) is an individual critical care medicine provider in Wright Pat, Ohio, licensed in Ohio (35.097175) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Soin Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871744540

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameJOSHUA ANDREW HAMILTONCredential: MD

Location Address4881 SUGAR MAPLE DR, ATTN: PULMONARY MEDICINEWright Pat, OH 45433-5529

Mailing Address4881 Sugar Maple Dr, Attn: Pulmonary MedicineWright Pat, OH 45433-5529

Phone(937) 257-1770

Sole ProprietorYes

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2008

Enumeration DateSeptember 30, 2008

Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration

NPPES CertifiedAugust 16, 2022

✔ NPI 1871744540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in OH · 35.097175

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35.097175 (OH)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35.097175 (OH)

4881 SUGAR MAPLE DR, Wright Pat, OH 45433

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Secondary Practice Locations 2

Location 13551 Roger Brooke Dr, Attn: Pulmonary MedicineFort Sam Houston, TX 78234-4504 · Phone (151) 513-2455

Location 23535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4450 · Fax (937) 702-4459

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, Oscar Health Insurance.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

Joshua Andrew 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 ID1658531785

PECOS Enrollment IDI20120328000373

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

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

17 services11 patients

Hospital Affiliations CMS Care Compare

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

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

91.25

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%34 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.

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.

MR. JAMES REBELLO III

Pharmacist

4881 SUGAR MAPLE DR
FAIRBORN, OH 45433

Greene County (937) 257-9014

CARLA HUELSKAMP PHARMD

Pharmacist

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-9696

JOHN ALAN ARTHUR

Internal Medicine

4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-4482

ALEXIS D OWEN

Military Health Care Provider (Independent Duty Medical Technicians)

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-1574

GREGORY JAMES MORSE M.D.

Radiology (Nuclear Radiology)

4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-9679

KENDRA M. SCHMUCK RD LD

Dietitian, Registered

4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-8815

MATTHEW PHILIP SCULLY IDMT

Military Health Care Provider (Independent Duty Medical Technicians)

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (616) 717-0169

KAREN LEWIS RTT

Radiologic Technologist (Radiation Therapy)

4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-4159

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 Joshua Hamilton's NPI number?

The NPI number for Joshua Hamilton is 1871744540. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Joshua Hamilton located?

Joshua Hamilton practices at 4881 Sugar Maple Dr Attn: Pulmonary Medicine, Wright Pat, OH 45433. The listed phone number is (937) 257-1770.

What is Joshua Hamilton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Joshua Hamilton enrolled in Medicare?

Yes. Joshua 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 Joshua Hamilton accept?

Health plans from CareSource, Molina Healthcare and Oscar Health Insurance list Joshua 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 Joshua Hamilton affiliated with any hospitals?

According to CMS data, Joshua Hamilton is affiliated with Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Hamilton was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.