DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.) – Orthopaedic Surgery Physician, NPI 1811257561

DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.) is a healthcare provider. based in Lexington, Kentucky. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D., M.B.A.. They hold a License No. R3102 (KY). The NPI Number for DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.) is 1811257561

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.)
NPI
1811257561
Phone
(859) 276-5008
Address
216 Fountain Ct Ste 250
Enumeration Date
29 May 2012
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8592765008
Graduation Year
2011 (15 years ago)
PAC ID
5193043503
Group Practice PAC ID
1951432665
Professional Enrollment ID
I20190815001983
Address ID
KY405092510LE216XXCTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:14State licenses:2Digital endpointsOther names

505 ORTHOPEDIC SURGERY in KY

Provider Addresses for DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.)

  • 216 Fountain Ct Ste 250

    Lexington, KY 405092510

    Phone: (859) 276-5008

    Fax: (859) 278-6401

    Type: Location

  • 404 SHOPPERS DR

    WINCHESTER, KY 403911378

    Phone: (859) 737-5333

    Fax: (859) 737-0070

    Type: Mailing

  • 216 FOUNTAIN CT STE 250

    LEXINGTON, KY 405092510

    Phone: (859) 276-5008

    Fax: (859) 278-6401

    Type: Mailing

  • PO BOX 936

    LONDON, KY 407430936

    Phone: (606) 330-7835

    Fax: (859) 543-0994

    Type: Mailing

  • 160 N EAGLE CREEK DR

    LEXINGTON, KY 405092121

    Phone: (859) 264-9820

    Fax: (859) 543-0994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $3,508.

Total Amount is formed as General ($3,508) + Research ($0) + Ownership ($0) = $3,508.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ConvaTec Inc. ($1,164).

Total Amount

$3,508

General + Research + Ownership

Payments

46

Total payment records

General Amount

$3,508

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181015000155IOrthopedic SurgeryPATBD
I20190815001983IOrthopedic SurgeryKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes221146$0
73630X-ray of foot, minimum of 3 views17182$0
99214Established patient office or other outpatient visit, 30-39 minutes13794$0
73610X-ray of ankle, minimum of 3 views7841$0
99204New patient office or other outpatient visit, 45-59 minutes5454$0
View full utilization report →

Insurance plans in this area (ZIP 40509)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951432665View full group profile
NameSpecialtyState
Hand SurgeryKY
Physician AssistantTN
Orthopedic SurgeryKY
Physician AssistantKY
Orthopedic SurgeryKY
Orthopedic SurgeryKY
Orthopedic SurgeryKY
Physician AssistantKY
Orthopedic SurgeryKY
Orthopedic SurgeryKY

Reviews

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Frequently asked questions

What is the registry number for DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.)?
The registry entry for DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.) shows NPI 1811257561.
Should I treat DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.) as an active provider?
Patients and plans typically see DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.) as active in the national extract.
How should patients interpret DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.)'s specialty?
The extract shows Orthopaedic Surgery Physician for DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.) in Lexington, Kentucky?
For routing, start with Lexington, Kentucky for DR. DAVID ANTHONY JR. HAMILTON (M.D., M.B.A.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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