1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Ophthalmology
  6. NPI Profile

MICHAEL HAMILTON MD
NPI 1972593838
Ophthalmology in Provo, UT

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
1145 N 500 W, STE A4, PROVO, UT 84604(801) 375-6565(801) 373-9750 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1972593838
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL HAMILTONCredential: MD
Location Address1145 N 500 W, STE A4Provo, UT 84604
Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 375-6565
Fax(801) 373-9750
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 24, 2005
Last NPPES UpdateJanuary 3, 2025
NPPES CertifiedJanuary 3, 2025
✔ NPI 1972593838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in UT · 14151234-1205✔ Licensed in IN · 01055918A
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1145 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Utah and more.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

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.

PECOS PAC ID9133451685
PECOS Enrollment IDI20250110002994
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.

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.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES

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

MARK A. RICHEY MD
Ophthalmology
1145 N 500 W, STE A4
PROVO, UT 84604
Utah County (801) 354-8225

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.

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 18 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.