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DR. NATHAN ROBERT HAMILTON DO
NPI 1912431776
Family Medicine in Goodrich, MI

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
7477 S STATE RD, GOODRICH, MI 48438(810) 636-2235(810) 636-3008 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, Aug 24, 2020, Apr 19, 2017 (3 updates tracked since 2017).

About Dr. Nathan Robert Hamilton Do NPPES

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

DR. NATHAN ROBERT HAMILTON DO (NPI 1912431776) is an individual family medicine provider in Goodrich, Michigan, licensed in Michigan (5101025831) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension Genesys Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912431776
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NATHAN ROBERT HAMILTONCredential: DO
Location Address7477 S STATE RDGoodrich, MI 48438-8745
Mailing Address3495 S Center RdBurton, MI 48519-1455
Phone(810) 636-2235
Fax(810) 636-3008
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 18, 2017
Last NPPES UpdateJune 13, 20223 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
✔ NPI 1912431776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MI · 5101025831✔ Licensed in MI · 5101022988
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.
7477 S STATE RD, Goodrich, MI 48438
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19900 Birch Run RdBirch Run, MI 48415-9609 · Phone (989) 624-1500 · Fax (989) 624-1506
Location 21460 N Center RdBurton, MI 48509-1429 · Phone (810) 715-4300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Nathan Robert Hamilton Do 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 ID6800167974
PECOS Enrollment IDI20200825002899
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 11

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 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.
315 services166 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.
156 services117 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
126 services126 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
56 services46 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.
44 services43 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Ascension Genesys Hospital

Acute Care Hospitals · Grand Blanc, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230197
LocationOne Genesys ParkwayGrand Blanc, MI 48439 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48438 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims15 services$28.39 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$212.67 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIDGET HILLMAN PA-C
Physician Assistant
7477 S STATE RD
GOODRICH, MI 48438
Genesee County (810) 636-2235
DR. MARK CLARK MD
Family Medicine
7477 S STATE RD
GOODRICH, MI 48438
Genesee County (810) 636-2235
DR. VALERIE J DUERR MD
Family Medicine
7477 S STATE RD
GOODRICH, MI 48438
Genesee County (810) 636-2235

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 Nathan Hamilton's NPI number?

The NPI number for Nathan Hamilton is 1912431776. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Nathan Hamilton located?

Nathan Hamilton practices at 7477 S State Rd, Goodrich, MI 48438. The listed phone number is (810) 636-2235.

What is Nathan Hamilton's specialty?

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

Is Nathan Hamilton enrolled in Medicare?

Yes. Nathan 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 Nathan Hamilton accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nathan 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 Nathan Hamilton affiliated with any hospitals?

According to CMS data, Nathan Hamilton is affiliated with Ascension Genesys Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Hamilton was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.