Caroline Hamilton
Physician Assistant โข Newark, DE
4755 Ogletown Stanton Rd
Newark, DE 197186217
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Caroline Hamilton is listed in NPPES under Physician Assistant.
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NPI assigned on December 18, 2019; this date does not establish years in practice.
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Published CMS data list 59 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99215 โ Established patient outpatient office visit: 48 service units.
- 99205 โ New patient outpatient office visit: 11 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 148 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone Hcl โ 55 prescription fills, including refills.
- Hydromorphone Hcl โ 28 prescription fills, including refills.
- Fentanyl โ 27 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant in Newark, DE (2024, 156 clinicians with data). Median for this group: 166. Middle half: 48 to 431.
Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Delaware (2024, 347 clinicians with data). Median for this group: 270. Middle half: 87 to 688.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 179 in 2020 to 59 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
4755 Ogletown Stanton Rd
Newark, DE 197186217
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
38 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $7,345 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $5,732 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
159 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$7,492 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Caroline Hamilton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Caroline Hamilton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Newark and Delaware
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant in Newark, DE (2024, 156 clinicians with data). Median for this group: 166. Middle half: 48 to 431.
Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Delaware (2024, 347 clinicians with data). Median for this group: 270. Middle half: 87 to 688.
Medicare-allowed amount
A lower Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Newark, DE (2024, 156 clinicians with data). Median for this group: $15,000. Middle half: $5,532 to $29,347.
A lower Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Delaware (2024, 347 clinicians with data). Median for this group: $20,935. Middle half: $8,185 to $49,614.
Paid by Medicare
A lower Medicare payment amount than 65% of clinicians listed under Physician Assistant in Newark, DE (2024, 156 clinicians with data). Median for this group: $11,537. Middle half: $4,187 to $21,813.
A lower Medicare payment amount than 75% of clinicians listed under Physician Assistant in Delaware (2024, 347 clinicians with data). Median for this group: $15,940. Middle half: $6,131 to $36,829.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Newark, DE (2024, 117 clinicians with data). Median for this group: 150. Middle half: 44 to 413.
Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Delaware (2024, 323 clinicians with data). Median for this group: 250. Middle half: 92 to 740.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Newark, DE (2024, 117 clinicians with data). Median for this group: $1,330. Middle half: $246 to $15,543.
Close to the middle for clinicians listed under Physician Assistant in Delaware (2024, 323 clinicians with data). Median for this group: $3,978. Middle half: $611 to $67,690.
319 active clinicians are listed under Physician Assistant with a practice address in Newark, DE (695 in Delaware).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Newark
10.3% of these 319 clinicians have the CMS telehealth indicator.
69.9% of these 319 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 67% from 179 in 2020 to 59 in 2024.
- 2020: 179
- 2021: 71
- 2022: 121
- 2023: 203
- 2024: 59
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Medicare-allowed amount
Medicare-allowed amount decreased 74% from $28,146 in 2020 to $7,345 in 2024.
- 2020: $28,146
- 2021: $9,474
- 2022: $13,114
- 2023: $19,779
- 2024: $7,345
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Paid by Medicare
Paid by Medicare decreased 74% from $21,669 in 2020 to $5,732 in 2024.
- 2020: $21,669
- 2021: $6,494
- 2022: $10,288
- 2023: $15,370
- 2024: $5,732
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 270% from 40 in 2021 to 148 in 2024.
- 2021: 40
- 2022: 198
- 2023: 223
- 2024: 148
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30-day fills
30-day fills increased 296% from 40 in 2021 to 159 in 2024.
- 2021: 40
- 2022: 233
- 2023: 288
- 2024: 159
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Part D drug cost
Part D drug cost increased 349% from $1,669 in 2021 to $7,492 in 2024.
- 2021: $1,669
- 2022: $15,869
- 2023: $21,259
- 2024: $7,492
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2020โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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48 | 18 | $333.44 | $118.86 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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11 | 11 | $478.72 | $149.06 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 55 | 951 | $928.68 | 20 |
| Hydromorphone Hcl | Hydromorphone Hcl | 28 | 280 | $571.15 | โ |
| Fentanyl | Fentanyl | 27 | 630 | $3,098.69 | โ |
| Gabapentin | Gabapentin | 26 | 1,065 | $683.07 | โ |
| Buprenorphine | Buprenorphine | 12 | 336 | $2,210.50 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-04-21NUCC Taxonomy Code: 363A00000X
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.
NUCC Taxonomy Code: 363A00000X
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.
NUCC Taxonomy Code: 363A00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20210426000128
DE
0446686091
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Emergency Medicine - Hospice and Palliative Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine - Hospice and Palliative Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4755 OGLETOWN STANTON RD, NEWARK, DE 197186217 (Tel: 3027334186)
Registered at 200 HYGEIA DR STE 2300, NEWARK, DE 197132049
Physician Assistant (license number reported to NPPES: DE C5-0011531)
NPI status registered as active in NPPES database
Registered at 100 ST LUKES LN, STROUDSBURG, PA 183606217 (Tel: 8667858537)
Registered at 50 SOMERSET DR, NOTTINGHAM, PA 193629703
Recorded as CAROLINE HAMILTON
Physician Assistant (license number reported to NPPES: PA 190962286)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Newark
- Andrew Patterson, PA-C
- Kevina Woodward-Riley, PA-C
- Yolanda Angstadt, PA-C
- Merve Akbay, PA-C
- Taylor Shanosky, PHYSICIAN ASSISTANT
- Rebecca Avello, PA-C
Mailing Address
200 Hygeia Dr Ste 2300
Newark, DE 197132049