MICHAEL HAMILTON MD
NPI 1972593838
Ophthalmology in Provo, UT
About Michael Hamilton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL HAMILTON MD (NPI 1972593838) is an individual ophthalmology provider in Provo, Utah, licensed in Utah (14151234-1205) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michael 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Hamilton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- 414 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Hamilton's NPI number?
The NPI number for Michael Hamilton is 1972593838. It was assigned to this individual provider in the NPPES registry on October 24, 2005.
Where is Michael Hamilton located?
Michael Hamilton practices at 1145 N 500 W Ste A4, Provo, UT 84604. The listed phone number is (801) 375-6565.
What is Michael Hamilton's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Michael Hamilton enrolled in Medicare?
Yes. Michael 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.
Which organization bills Medicare for Michael Hamilton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hamilton reassigns Medicare benefits to Revere Health PC (Provo, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Hamilton accept?
Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Michael 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.
When was this NPI record last updated?
The NPPES record for Michael Hamilton was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Michael Hamilton, MD · NPI 1972593838
Ophthalmology physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since October 24, 2005.
## Identity
- **NPI:** 1972593838 (Entity type: Individual)
- **Enumerated:** October 24, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 14151234-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1145 N 500 W, STE A4, Provo, UT 84604
- **Phone:** (801) 375-6565 · **Fax:** (801) 373-9750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Revere Health PC (NPI 1093764805, Provo, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972593838) · Data from the CMS NPPES public registry.