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DAVID RANDALL HOFIUS D.O.
NPI 1013903285
Surgery in Morgantown, WV

Active since September 23, 2005PECOS Enrolled
3000 MON HEALTH MEDICAL PARK DR STE 3300, MORGANTOWN, WV 26505(304) 599-1448(304) 599-5335 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2024, Jun 23, 2023 (2 updates tracked since 2023).

About David Randall Hofius D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID RANDALL HOFIUS D.O. (NPI 1013903285) is an individual surgery provider in Morgantown, West Virginia, licensed in West Virginia (4165) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013903285
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDAVID RANDALL HOFIUSCredential: D.O.
Location Address3000 MON HEALTH MEDICAL PARK DR STE 3300Morgantown, WV 26505-1169
Mailing Address3000 Mon Health Medical Park Dr Ste 3300Morgantown, WV 26505-1169 · (304) 599-1448 · Fax (304) 599-5335
Phone(304) 599-1448
Fax(304) 599-5335
Sole ProprietorYes
Enumeration DateSeptember 23, 2005
Last NPPES UpdateApril 1, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1013903285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in WV · 4165✔ Licensed in PA · OS008334L
Definition
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.
3000 MON HEALTH MEDICAL PARK DR STE 3300, Morgantown, WV 26505
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Other Identifiers 1

Medicaid0014943080009PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Randall Hofius D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show David Hofius reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monongalia County General Hospital Company
Same address
Specialist
2000 MON HEALTH MEDICAL PARK DR STE 2300
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 318 clinicians in this Medicare group
NPI 1447673223 (304) 599-8802
Preston Memorial Hospital Corporation
19 mi
Emergency Medicine
150 MEMORIAL DR
Kingwood, WV 26537
  • Reassigned Medicare billing, West Virginia enrollment
  • 159 clinicians in this Medicare group
NPI 1841230661 (304) 329-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
44 services42 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
70%332 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%325 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
41%434 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%434 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
69%434 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
17%434 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
Surgery
3000 MON HEALTH MEDICAL PARK DR STE 3300
MORGANTOWN, WV 26505
Monongalia County (304) 599-1448
MARK LEO JOHNSON M.D.
Surgery
3000 MON HEALTH MEDICAL PARK DR STE 3300
MORGANTOWN, WV 26505
Monongalia County (304) 599-1448
MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
General Acute Care Hospital
3000 MON HEALTH MEDICAL PARK DR STE 3300
MORGANTOWN, WV 26505
Monongalia County (304) 599-1448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Hofius's NPI number?

The NPI number for David Hofius is 1013903285. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is David Hofius located?

David Hofius practices at 3000 Mon Health Medical Park Dr Ste 3300, Morgantown, WV 26505. The listed phone number is (304) 599-1448.

What is David Hofius's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Hofius enrolled in Medicare?

Yes. David Hofius is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Hofius's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Hofius reassigns Medicare benefits to 2 organizations: Monongalia County General Hospital Company (Morgantown, WV) and Preston Memorial Hospital Corporation (Kingwood, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Hofius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Hofius accept?

Health plans from CareSource list David Hofius as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Hofius was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.