Deactivated NPI 1033215017 Deactivated / Inactive NPI Male Practitioner

Dr. Jack L Hamman , MD

Surgery • Madisonville, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Hamman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 16, 2006

NPI Deactivation Date April 30, 2026

Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Hamman, MD was a registered Surgery practicing in Madisonville, KY. Throughout an active medical career spanning 20 years, Dr. Hamman provided care at the practice location at 800 HOSPITAL DR until profile deactivation on 2026-04-30.

Historical Medicare Part B clinical services included established patient outpatient office visit, strapping, unna boot, blood test, clotting time. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

800 Hospital Dr

Madisonville, KY 424311658

Telephone 2703263800

Fax 2703263805

Associated Practice Facility / Clinic

🏢 Regional Health Care Affiliates Inc Facility NPI 1104344837

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Madisonville, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Madisonville, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$137.00	$87.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	15	$82.00	$53.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	71	$137.00	$70.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	26	$82.00	$42.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	108	$137.00	$69.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	73	$82.55	$42.11
29580 Strapping, unna boot	94	21	$175.66	$79.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	36	$65.00	$24.72
99213 Established patient office or other outpatient visit, typically 15 minutes	33	22	$100.00	$49.50
85610 Blood test, clotting time	27	16	$11.00	$4.28
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$140.00	$71.75
99201 New patient office or other outpatient visit, typically 10 minutes	26	26	$83.00	$42.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	12	$101.00	$50.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	118	$136.27	$67.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	80	$81.28	$40.38
29580 Strapping, unna boot	115	15	$166.69	$79.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	40	$61.63	$24.22
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$140.00	$68.28
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$101.20	$49.19
11042 Removal of skin and tissue, 20.0 sq cm or less	22	13	$142.00	$59.52
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$81.93	$41.21
85610 Blood test, clotting time	14	13	$11.00	$4.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	286	74	$60.35	$23.56
99213 Established patient office or other outpatient visit, typically 15 minutes	145	120	$136.00	$65.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	136	97	$81.00	$38.95
29580 Strapping, unna boot	104	19	$144.38	$61.58
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$140.00	$65.77
99213 Established patient office or other outpatient visit, typically 15 minutes	37	30	$102.27	$47.18
97597 Removal of tissue from wound, 20.0 sq cm or less	17	11	$93.71	$21.96
93922 Ultrasound study of arm and leg arteries	11	11	$220.00	$70.75

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 14714

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. David Ladden , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1093764284

Doctor of Medicine (M.D.)

Dr. Dolph Denny , MD

Internal Medicine - Interventional Cardiology

NPI 1164419917

Doctor of Medicine (M.D.)

Jamie Miller , APRN

Nurse Practitioner - Family

NPI 1184646630

Advanced Practice Registered Nurse

Brenda Stephens , MSN, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1356448989

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Michelle Kelley , APRN

Nurse Practitioner - Family

NPI 1407490584

Advanced Practice Registered Nurse

Marion Boone , CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1417582339

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated April 30, 2026

Record deactivated on April 30, 2026

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NPI Profile Active January 08, 2015

NPI status registered as active in NPPES database

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Updated Practice Location January 08, 2015

Registered at 800 HOSPITAL DR, MADISONVILLE, KY 424311658 (Tel: 2703263800)

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Updated Business Mailing Address January 08, 2015

Registered at 200 CLINIC DR, MADISONVILLE, KY 424311661

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Provider Name / Credentials Updated January 08, 2015

Recorded as JACK HAMMAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2015

Surgery (License #14714 in KY)

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Initial NPI Registration & Enumeration September 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033215017

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 16, 2006

Last Update: January 08, 2015

Deactivation Date: April 30, 2026

Update or Correct Profile

Mailing Address

200 Clinic Dr

Madisonville, KY 424311661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.