PHILIP M HAMBY MD
NPI 1992064372
Surgery in Mccall, ID

Active since May 04, 2012PECOS EnrolledAccepts Medicare Assignment
1000 STATE ST, MCCALL, ID 83638(208) 634-2221(208) 634-7112 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2025, Dec 13, 2016 (2 updates tracked since 2016).

About Philip M Hamby Md NPPES

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

PHILIP M HAMBY MD (NPI 1992064372) is an individual surgery provider in Mccall, Idaho, licensed in Idaho (2571069) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with St Luke's Mccall, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1992064372
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePHILIP M HAMBYCredential: MD
Location Address1000 STATE STMccall, ID 83638-3704
Mailing Address124 Merry TrlSan Antonio, TX 78232-1329 · (210) 596-8687
Fax(208) 634-7112
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2012
Enumeration DateMay 4, 2012
Last NPPES UpdateAugust 22, 20252 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
✔ NPI 1992064372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in ID · 2571069✔ Licensed in TX · Q2903
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 STATE ST, Mccall, ID 83638

Secondary Practice Location 1

Location 1124 Merry TrlSan Antonio, TX 78232-1329 · Phone (210) 596-8687

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

Philip M Hamby 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 ID6305115411
PECOS Enrollment IDI20260219004022
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.

Medicare Billing Reassignment

Medicare enrollment records show Philip Hamby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1700 SW 7TH ST
Topeka, KS 66606
  • Reassigned Medicare billing, Kansas enrollment
  • 215 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.

Areas of Expertise CMS Part B claims 3

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 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.
23 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Mccall

Critical Access Hospitals · Mccall, ID
OwnershipProprietary
CMS Certification Number131312
Location1000 State StreetMccall, ID 83638 · Valley County
Emergency services Birthing friendly
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170016
Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83638 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 20

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

Medicare Defined Swing Bed Unit
1000 STATE ST
MCCALL, ID 83638
Family Medicine
1000 STATE ST
MCCALL, ID 83638
General Acute Care Hospital (Critical Access)
1000 STATE ST
MCCALL, ID 83638
Internal Medicine
1000 STATE ST
MCCALL, ID 83638
Massage Therapist
1000 STATE ST
MCCALL, ID 83638
Physician Assistant
1000 STATE ST
MCCALL, ID 83638
Radiology (Diagnostic Radiology)
1000 STATE ST
MCCALL, ID 83638
Pharmacist
1000 STATE ST
MCCALL, ID 83638

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 Philip Hamby's NPI number?

The NPI number for Philip Hamby is 1992064372. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Philip Hamby located?

Philip Hamby practices at 1000 State St, Mccall, ID 83638. The listed phone number is (208) 634-2221.

What is Philip Hamby's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Philip Hamby enrolled in Medicare?

Yes. Philip Hamby 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 Philip Hamby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Hamby reassigns Medicare benefits to Topeka Physician Group, LLC (Topeka, KS). 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 Philip Hamby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Hamby accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Philip Hamby 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 Philip Hamby affiliated with any hospitals?

According to CMS data, Philip Hamby is affiliated with St Luke's Mccall and University Of Kansas Health System - St Francis Campus.

When was this NPI record last updated?

The NPPES record for Philip Hamby was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.