NPPES file of Aug 9, 2026

James Matthew Hamilton, M.D.

Otolaryngology Physician · Atlanta, GA

James Matthew Hamilton, M.D. is an otolaryngology physician with a practice address in Atlanta, Georgia, and NPI 1245675735, issued on May 9, 2013. Check the license (Georgia 80528, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1245675735
Name
James Matthew Hamilton
Credential
M.D.
Primary taxonomy
Otolaryngology Physician 207Y00000X
License number
80528 GA
Self-reported in NPPES; status is on the state search
Practice location
550 Peachtree St NE, Atlanta, GA 30308
Phone
(404) 259-6299
Enumerated
May 9, 2013
Record last updated
Jul 11, 2018 (not updated in 8 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20180814004012); accepts Medicare assignment
Medical or professional school
Jefferson Medical College Of Thomas Jefferson University, 2013
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 550 Peachtree St NE

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Abimbola Abiodun, P.A.Physician Assistant1487749867
  2. Rubab AhmadPhysician Assistant1700390127
  3. Shahid Ahmed, MBBSHematology & Oncology Physician1841555083
  4. Malcolm Aikens, NPGerontology Nurse Practitioner1649768920
  5. Amanda Ailleo, NP-CFamily Nurse Practitioner1366935520
  6. Valery Akopov, M.D.Internal Medicine Physician1417975871

Verify James Matthew Hamilton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersGeorgia Composite Medical Board
    Search for license 80528
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

67% fewer Medicare Part D claims than the average otolaryngology physician in 2024

180 Medicare Part D claims for 82 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. 12 claims were for opioids.

  1. James Hamilton180
  2. Specialty average541

Most prescribed

  1. Fluticasone Propionate41 claims
  2. Esomeprazole Magnesium39 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 94.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score78.5
  2. Costout of 100 · 30%75.5
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $203.86

8 payments; by number, the most common kind was food and beverage; the largest payer was DePuy Synthes Sales Inc. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Hamilton$203.86
  2. Specialty average$1,922.50

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Emory Medical Care Foundation IncAtlanta, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James Matthew Hamilton among 355 otolaryngology physician records in Georgia

James Matthew Hamilton, M.D. is one of 355 otolaryngology physician records with a practice address in Georgia. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 75% of them.

  • NPI issued2013 · 75% of these records are older, 23% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated2013 · median 2002 among the 241 with a school on file
  • Record last updated2018 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Otolaryngology Physician providers in Georgia

There are 355 otolaryngology physician records in Georgia.

The 8 otolaryngology physician records with the nearest ZIP codes

  1. Taryn Bross, TARYN DAVIDSAtlanta, GA 303081164759247
  2. Oleksandr ButskiyAtlanta, GA 303081801445523
  3. Nicholas Fung, MDAtlanta, GA 303081508370164
  4. Danielle Gainor, M.D.Atlanta, GA 303081396060232
  5. Peter Kahng, MDAtlanta, GA 303081750945663
  6. Patricia Loftus, M.D.Atlanta, GA 303081497071336
  7. Lauren Luk, MDAtlanta, GA 303081801186192
  8. Clariliz Munet-ColonAtlanta, GA 303081972067643

Common questions

What is James Matthew Hamilton, M.D.'s NPI number?

James Matthew Hamilton, M.D.'s National Provider Identifier (NPI) is 1245675735, issued on May 9, 2013. An NPI identifies a provider in billing; it is not a license.

Where is James Matthew Hamilton, M.D. located?

The NPPES record lists a practice address at 550 Peachtree St NE, Atlanta, GA, 30308. Phone: (404) 259-6299. Providers update this record themselves, so call before visiting.

How can I verify James Matthew Hamilton, M.D.'s license?

NPPES lists Georgia license number 80528, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Matthew Hamilton, M.D. prescribe under Medicare Part D?

In 2024, James Matthew Hamilton, M.D. had 180 Medicare Part D claims for 82 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

What is James Matthew Hamilton, M.D.'s MIPS final score?

The 2023 MIPS final score is 94.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.