BRIAN HAMLIN
NPI 1891705521
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Morgantown, WV

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
101 STADIUM DR, SUITE 1601B, MORGANTOWN, WV 26506(304) 598-4000 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian Hamlin NPPES

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

BRIAN HAMLIN (NPI 1891705521) is an individual adult reconstructive orthopaedic surgery provider in Morgantown, West Virginia, licensed in West Virginia (22308) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1994).

NPPES Registry Identity

NPI1891705521
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameBRIAN HAMLIN
Location Address101 STADIUM DR, SUITE 1601BMorgantown, WV 26506-7911
Mailing AddressPo Box 897, Suite 1601bMorgantown, WV 26507-0897
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1994
Enumeration DateAugust 8, 2006
Last NPPES UpdateApril 6, 2021
NPI 1891705521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in WV · 22308
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.
101 STADIUM DR, Morgantown, WV 26506

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

Brian Hamlin 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 ID9335053362
PECOS Enrollment IDI20031114000226, I20060817000362
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 14

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.

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.
342 services282 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
224 services12 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.
138 services126 patients
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.
125 services103 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
88 services87 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
82 services81 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
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

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

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers69 claims1,345 services$21.57 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.

Internal Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
101 STADIUM DR, ROBERT C. BYRD HEALTH SCIENCES CENTER
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Emergency Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Internal Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Nurse Anesthetist, Certified Registered
101 STADIUM DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506

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 Brian Hamlin's NPI number?

The NPI number for Brian Hamlin is 1891705521. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Brian Hamlin located?

Brian Hamlin practices at 101 Stadium Dr Suite 1601B, Morgantown, WV 26506. The listed phone number is (304) 598-4000.

What is Brian Hamlin's specialty?

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

Is Brian Hamlin enrolled in Medicare?

Yes. Brian Hamlin 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.

Is Brian Hamlin affiliated with any hospitals?

According to CMS data, Brian Hamlin is affiliated with Upmc St Margaret, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside, St Clair Hospital and West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Brian Hamlin was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.