DR. JOHN ADAM HAMILTON MD
NPI 1982720231
Orthopaedic Surgery in Marshalltown, IA

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
421 E MERLE HIBBS BLVD, MARSHALLTOWN, IA 50158(641) 844-2213(641) 752-5132 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2023, Jun 1, 2021, Oct 3, 2018 and 1 more (4 updates tracked since 2018).

About Dr. John Adam Hamilton Md NPPES

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

DR. JOHN ADAM HAMILTON MD (NPI 1982720231) is an individual orthopaedic surgery provider in Marshalltown, Iowa, licensed in Iowa (48358) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Marshalltown, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982720231
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN ADAM HAMILTONCredential: MD
Location Address421 E MERLE HIBBS BLVDMarshalltown, IA 50158-1992
Mailing Address1215 Duff AveAmes, IA 50010-5469 · (515) 239-4400
Fax(641) 752-5132
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2006
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 17, 20234 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
NPI 1982720231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in IA · 48358 Licensed in MN · 53573 Licensed in OH · 57-012100 Licensed in WI · 69507
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
421 E MERLE HIBBS BLVD, Marshalltown, IA 50158

Secondary Practice Locations 2

Location 1501 N 10th StManitowoc, WI 54220 · Phone (920) 682-6376 · Fax (920) 652-0115
Location 21233 34th St NWBemidji, MN 56601 · Phone (218) 333-5000

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

Dr. John Adam 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 ID3072785211
PECOS Enrollment IDI20210406000750
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 16

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,280 services118 patients
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.
217 services161 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
147 services97 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
135 services99 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
135 services135 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.
63 services58 patients

Hospital Affiliations CMS Care Compare 3

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

Unitypoint Health - Marshalltown

Acute Care Hospitals · Marshalltown, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160001
Location55 Unitypoint WayMarshalltown, IA 50158 · Marshall County
Emergency services

Mary Greeley Medical Center

Acute Care Hospitals · Ames, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160030
Location1111 Duff AvenueAmes, IA 50010 · Story County
Emergency services Birthing friendly

Franklin General Hospital

Critical Access Hospitals · Hampton, IA
OwnershipGovernment - Local
CMS Certification Number161308
Location1720 Central Avenue EastHampton, IA 50441 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50158 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$108.36 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.

Family Medicine
421 E MERLE HIBBS BLVD
MARSHALLTOWN, IA 50158
Physician Assistant
421 E MERLE HIBBS BLVD
MARSHALLTOWN, IA 50158
Physician Assistant
421 E MERLE HIBBS BLVD
MARSHALLTOWN, IA 50158
Surgery
421 E MERLE HIBBS BLVD, MC FARLAND CLINIC, PC
MARSHALLTOWN, IA 50158
Optometrist
421 E MERLE HIBBS BLVD
MARSHALLTOWN, IA 50158
Pediatrics
421 E MERLE HIBBS BLVD
MARSHALLTOWN, IA 50158
Nurse Practitioner
421 E MERLE HIBBS BLVD
MARSHALLTOWN, IA 50158
Occupational Therapist
421 E MERLE HIBBS BLVD
MARSHALLTOWN, IA 50158

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 John Hamilton's NPI number?

The NPI number for John Hamilton is 1982720231. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is John Hamilton located?

John Hamilton practices at 421 E Merle Hibbs Blvd, Marshalltown, IA 50158. The listed phone number is (641) 844-2213.

What is John Hamilton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Hamilton enrolled in Medicare?

Yes. John 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 John Hamilton accept?

Health plans from CareSource (Common Ground Healthcare) and Medica list John 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 John Hamilton affiliated with any hospitals?

According to CMS data, John Hamilton is affiliated with Unitypoint Health - Marshalltown, Mary Greeley Medical Center and Franklin General Hospital.

When was this NPI record last updated?

The NPPES record for John Hamilton was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.