R SCOTT HOFFMAN MD
NPI 1194700070
Ophthalmology in Louisville, KY

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
97.07/100
CMS Quality Rating
4004 DUPONT CIR, LOUISVILLE, KY 40207(502) 897-1604(502) 897-0489 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About R Scott Hoffman Md NPPES

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

R SCOTT HOFFMAN MD (NPI 1194700070) is an individual ophthalmology provider in Louisville, Kentucky, licensed in Kentucky (30458) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Kentucky College Of Medicine (1993).

NPPES Registry Identity

NPI1194700070
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameR SCOTT HOFFMANCredential: MD
Location Address4004 DUPONT CIRLouisville, KY 40207-4819
Mailing AddressPo Box 206068Louisville, KY 40250-6068 · (502) 896-2064 · Fax (502) 897-0489
Fax(502) 897-0489
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1993
Enumeration DateDecember 13, 2005
Last NPPES UpdateJanuary 5, 2011
NPI 1194700070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in KY · 30458
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4004 DUPONT CIR, Louisville, KY 40207

Other Identifiers 8

Other000000068291Blue Shield
Other0351Group Medicare
OtherCB0333Group Railroad Medicare
Medicare NSC0268650001
Medicare PIN0035111
Other180041690KY · Medicare Rr
Medicaid64304587KY
Medicare UPING56260

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

R Scott Hoffman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709886237
PECOS Enrollment IDI20091103000137
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.

Areas of Expertise CMS Part B claims 17

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,401 services1,394 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
418 services417 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
418 services365 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
360 services359 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
327 services300 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
305 services285 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

97.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost90.25

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
6 suppliers16 claims16 services$53.71 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers18 claims31 services$36.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
4004 DUPONT CIR
LOUISVILLE, KY 40207
Audiologist
4004 DUPONT CIR, STE 220
LOUISVILLE, KY 40207
Otolaryngology
4004 DUPONT CIR, SUITE 220
LOUISVILLE, KY 40207
Audiologist
4004 DUPONT CIR, SUITE 220
LOUISVILLE, KY 40207
Radiology (Diagnostic Radiology)
4004 DUPONT CIR, SUITE 230
LOUISVILLE, KY 40207
Ophthalmology
4004 DUPONT CIR
LOUISVILLE, KY 40207
Ophthalmology
4004 DUPONT CIR
LOUISVILLE, KY 40207
Audiologist
4004 DUPONT CIR, STE 220
LOUISVILLE, KY 40207

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 R Hoffman's NPI number?

The NPI number for R Hoffman is 1194700070. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is R Hoffman located?

R Hoffman practices at 4004 Dupont Cir, Louisville, KY 40207. The listed phone number is (502) 897-1604.

What is R Hoffman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is R Hoffman enrolled in Medicare?

Yes. R Hoffman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does R Hoffman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list R Hoffman 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.

Is R Hoffman affiliated with any hospitals?

According to CMS data, R Hoffman is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for R Hoffman was last updated on January 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.