Active NPI 1548594716 Individual Practitioner Male Practitioner

Michael Hamilton , PA-C

Physician Assistant • Richmond, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Hamilton, PA-C is a certified Physician Assistant practicing in Richmond, KY. With approximately 17 years of clinical experience since completing medical education in 2009, Michael Hamilton delivers high-quality medical care to the local community at 2187 LEXINGTON RD STE B1.

Michael Hamilton is affiliated with Ballard Wright, Md, Psc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2187 Lexington Rd Ste B1

Richmond, KY 404757919

Telephone 8593535907

Fax 8593535683

Associated Practice Facility / Clinic

🏢 Anesthesia & Pain Care Services, Pllc Facility NPI 1518297399

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Richmond, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +3.9 yrs vs City Avg

City Avg: 13.1 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Richmond, KY (1973 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hamilton (17 Years) 17 Yrs

Richmond Specialty Average (13.1 Years) 13.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	302	148	$110.00	$69.22
80307 Testing for presence of drug, by chemistry analyzers	118	101	$141.00	$56.50
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	118	101	$142.00	$104.23
96127 Assessment of emotional or behavioral problems	95	34	$40.00	$3.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	44	$60.00	$43.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$160.00	$100.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	374	180	$105.78	$70.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	357	171	$69.94	$44.25
96127 Assessment of emotional or behavioral problems	112	54	$40.00	$3.93
80307 Testing for presence of drug, by chemistry analyzers	69	64	$141.65	$60.02
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	66	63	$144.18	$110.44

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	928	271	$70.00	$44.26
99213 Established patient office or other outpatient visit, typically 15 minutes	194	146	$100.00	$71.11
99441 Telephone medical discussion with physician, 5-10 minutes	72	69	$78.00	$44.56
80305 Testing for presence of drug, read by direct observation	51	49	$30.00	$11.75

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	190	173	$70.00	$44.57
99213 Established patient office or other outpatient visit, typically 15 minutes	48	48	$100.00	$72.23
99441 Telephone medical discussion with physician, 5-10 minutes	40	37	$78.00	$44.67
80305 Testing for presence of drug, read by direct observation	39	39	$30.00	$12.28

Medical Specialties & State Licenses

CMS Verified: 2023-08-04

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY TC042

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Ballard Wright, Md, Psc

2416 Regency Rd, Lexington, KY 405032954

Phone: 8592781316

Ballard Wright, Md, Psc

280 Pasadena Dr, Lexington, KY 405032925

Phone: 8592781316

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location August 04, 2023

Registered at 2187 LEXINGTON RD STE B1, RICHMOND, KY 404757919 (Tel: 8593535907)

✅

NPI Profile Active September 22, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2009

Registered at 1024 IVAL JAMES BLVD, SUITE C, RICHMOND, KY 404758174 (Tel: 8593535907)

📍

Updated Business Mailing Address September 22, 2009

Registered at 1024 IVAL JAMES BLVD, SUITE C, RICHMOND, KY 404758174 (Tel: 8593535907)

👤

Provider Name / Credentials Updated September 22, 2009

Recorded as MICHAEL HAMILTON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2009

Physician Assistant (License #TC042 in KY)

🟢

Initial NPI Registration & Enumeration September 22, 2009

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: 1548594716

Entity Type:

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

Enumeration Date: September 22, 2009

Last Update: August 04, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1024 Ival James Blvd, Suite C

Richmond, KY 404758174

Phone: 8593535907

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.