ZACHARY ADAM HAMILTON M.D.
NPI 1962727875
Urology in Saint Louis, MO

Active since April 02, 2010PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
3655 VISTA AVE, SAINT LOUIS, MO 63110(314) 977-4440(314) 977-1642 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 2, 2021, Jul 11, 2019, Feb 20, 2018 (3 updates tracked since 2018).

About Zachary Adam Hamilton M.d. NPPES

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

ZACHARY ADAM HAMILTON M.D. (NPI 1962727875) is an individual urology provider in Saint Louis, Missouri, licensed in Missouri (2017002244) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1962727875
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameZACHARY ADAM HAMILTONCredential: M.D.
Location Address3655 VISTA AVESaint Louis, MO 63110-2539
Mailing Address1008 S. Spring Ave, Slu Academic PavilionSt. Louis, MO 63110 · (314) 977-3470 · Fax (314) 977-1642
Fax(314) 977-1642
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2010
Enumeration DateApril 2, 2010
Last NPPES UpdateFebruary 2, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1962727875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MO · 2017002244
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3655 VISTA AVE, Saint Louis, MO 63110

Secondary Practice Location 1

Location 16400 Clayton Rd Ste 201Saint Louis, MO 63117-1850 · Phone (314) 977-4440 · Fax (314) 977-1642

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

Zachary Adam 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 ID9537472436
PECOS Enrollment IDI20170720000709
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 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.
80 services73 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.
50 services43 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
32 services20 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
20 services17 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.
20 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Referred Medical Equipment & Supplies CMS DME claims 7

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers16 claims2,670 services$5.64 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
6 suppliers27 claims61 services$8.67 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers11 claims220 services$2.78 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4430
DME-Orthotic Devices · category DF010N
2 suppliers11 claims325 services$7.68 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
6 suppliers33 claims1,530 services$0.19 avg. paid by Medicare
Ostomy pouch, urinary; with barrier attached (1 piece), each A5071
DME-Orthotic Devices · category DF010N
2 suppliers19 claims380 services$4.91 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
3655 VISTA AVE, SUITE 116
SAINT LOUIS, MO 63110
Surgery (Vascular Surgery)
3655 VISTA AVE
SAINT LOUIS, MO 63110
Nurse Practitioner (Adult Health)
3655 VISTA AVE, CENTER FOR BLOOD AND MARROW OUTPATIENT TRANSPLANTATION
SAINT LOUIS, MO 63110
Emergency Medicine
3655 VISTA AVE
SAINT LOUIS, MO 63110
Neurological Surgery
3655 VISTA AVE
SAINT LOUIS, MO 63110
Nurse Practitioner (Family)
3655 VISTA AVE
SAINT LOUIS, MO 63110
Clinic/Center
3655 VISTA AVE, TG055
SAINT LOUIS, MO 63110
Internal Medicine (Hematology & Oncology)
3655 VISTA AVE, WEST PAVILION
SAINT LOUIS, MO 63110

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 Zachary Hamilton's NPI number?

The NPI number for Zachary Hamilton is 1962727875. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Zachary Hamilton located?

Zachary Hamilton practices at 3655 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 977-4440.

What is Zachary Hamilton's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Zachary Hamilton enrolled in Medicare?

Yes. Zachary 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 Zachary Hamilton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Zachary 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 Zachary Hamilton affiliated with any hospitals?

According to CMS data, Zachary Hamilton is affiliated with Ssm Health St Mary's Hospital -Centralia, Ssm St Clare Health Center, Ssm Health St Mary's Hospital - St Louis, Ssm Health Saint Louis University Hospital and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Zachary Hamilton was last updated on February 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.