ERIKA P HAMILTON M.D.
NPI 1902007107
Internal Medicine - Hematology & Oncology in Nashville, TN

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment
250 25TH AVE N, SUITE 100, NASHVILLE, TN 37203(615) 320-5090(615) 320-1225 Get Directions Write a Review

NPPES record last updated: August 19, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Erika P Hamilton M.d. NPPES

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

ERIKA P HAMILTON M.D. (NPI 1902007107) is an individual hematology & oncology provider in Nashville, Tennessee, licensed in Tennessee (49871) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2007).

NPPES Registry Identity

NPI1902007107
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameERIKA P HAMILTONCredential: M.D.
Location Address250 25TH AVE N, SUITE 100Nashville, TN 37203-1632
Mailing AddressPo Box 440100Nashville, TN 37244-0100 · (615) 320-5090 · Fax (615) 320-1225
Fax(615) 320-1225
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2007
Enumeration DateMay 29, 2007
Last NPPES UpdateAugust 19, 2013
NPI 1902007107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in TN · 49871
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2009-00821 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 141176 (NC)
250 25TH AVE N, Nashville, TN 37203

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

Erika P Hamilton M.d. 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 ID4880881101
PECOS Enrollment IDI20130724000281
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 23

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,340 services13 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
728 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
544 services96 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
444 services89 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
329 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
283 services82 patients

Hospital Affiliations CMS Care Compare 5

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

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440006
Location3441 Dickerson PikeNashville, TN 37207 · Davidson County
Emergency services

Williamson Medical Center

Acute Care Hospitals · Franklin, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440029
Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County
Emergency services Birthing friendly

Tristar Northcrest Medical Center

Acute Care Hospitals · Springfield, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440065
Location100 Northcrest DriveSpringfield, TN 37172 · Robertson County
Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
64%1,446 patients2/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
32%34 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%185 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
28%490 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
66%490 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%490 patients1/55-star benchmark: 59%
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 3

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier40 claims2,660 services$0.72 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$21.81 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier32 claims32 services$17.19 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.

Nurse Practitioner (Family)
250 25TH AVE N, SUITE 412
NASHVILLE, TN 37203
Internal Medicine (Hematology & Oncology)
250 25TH AVE N, STE 100
NASHVILLE, TN 37203
Internal Medicine (Hematology & Oncology)
250 25TH AVE N, STE 412
NASHVILLE, TN 37203
Nurse Practitioner
250 25TH AVE N, STE 412
NASHVILLE, TN 37203
Nurse Practitioner
250 25TH AVE N, STE 412
NASHVILLE, TN 37203
Nurse Practitioner
250 25TH AVE N, STE 100
NASHVILLE, TN 37203
Surgery (Plastic and Reconstructive Surgery)
250 25TH AVE N, SUITE 301
NASHVILLE, TN 37203
Internal Medicine (Medical Oncology)
250 25TH AVE N, STE 100
NASHVILLE, TN 37203

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 Erika Hamilton's NPI number?

The NPI number for Erika Hamilton is 1902007107. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Erika Hamilton located?

Erika Hamilton practices at 250 25th Ave N Suite 100, Nashville, TN 37203. The listed phone number is (615) 320-5090.

What is Erika Hamilton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Erika Hamilton enrolled in Medicare?

Yes. Erika 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 Erika Hamilton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Erika 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 Erika Hamilton affiliated with any hospitals?

According to CMS data, Erika Hamilton is affiliated with Tristar Skyline Medical Center, Williamson Medical Center, Tristar Northcrest Medical Center, Tristar Summit Medical Center and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Erika Hamilton was last updated on August 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.