DR. SAM HOFMAN M.D.
NPI 1245496801
Pediatrics in Green Bay, WI

Q: What is Sam Hofman's NPI number?

The NPI number for Sam Hofman is 1245496801. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Q: What is Sam Hofman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sam Hofman was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 04, 2008PECOS Enrolled

1715 DOUSMAN ST, GREEN BAY, WI 54303(920) 496-4780 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Sam Hofman M.d. NPPES

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

DR. SAM HOFMAN M.D. (NPI 1245496801) is an individual pediatrics provider in Green Bay, Wisconsin, licensed in Wisconsin (53873) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245496801

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. SAM HOFMANCredential: M.D.

Location Address1715 DOUSMAN STGreen Bay, WI 54303-3211

Mailing Address1715 Dousman StGreen Bay, WI 54303-3211 · (920) 496-4700

Phone(920) 496-4780

Sole ProprietorNo

Enumeration DateAugust 4, 2008

Last NPPES UpdateAugust 29, 2019

✔ NPI 1245496801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 53873

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1715 DOUSMAN ST, Green Bay, WI 54303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sam Hofman M.d. 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 Reassignment

Medicare enrollment records show Sam Hofman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

3.9 mi

General Practice

2710 EXECUTIVE DR
Green Bay, WI 54304

Reassigned Medicare billing, Wisconsin enrollment
742 clinicians in this Medicare group

NPI 1285613638 (920) 433-8287

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. JENNA MAE HANSON PA-C

Physician Assistant (Medical)