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DR. SARAH C G HOFFMAN DO
NPI 1295025963
Pediatrics in South Portland, ME

Active since April 14, 2011PECOS Enrolled
98.06/100
CMS Quality Rating
119 GANNETT DR, SOUTH PORTLAND, ME 04106(207) 773-0040 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 2, 2025, Apr 27, 2017, Nov 22, 2016 (3 updates tracked since 2016).

About Dr. Sarah C G Hoffman Do NPPES

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

DR. SARAH C G HOFFMAN DO (NPI 1295025963) is an individual pediatrics provider in South Portland, Maine, licensed in Maine (DO2624) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295025963
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SARAH C G HOFFMANCredential: DO
Location Address119 GANNETT DRSouth Portland, ME 04106-6942
Mailing Address190 Riverside St, Suite 6bPortland, ME 04103-1073 · (207) 661-2000 · Fax (207) 661-2033
Phone(207) 773-0040
Sole ProprietorNo
Enumeration DateApril 14, 2011
Last NPPES UpdateApril 2, 20253 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1295025963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · DO2624
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 ListedPediatrics · Sports MedicineTaxonomy 2080S0010X · License DO2624 (ME)
119 GANNETT DR, South Portland, ME 04106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Taro Health.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. Sarah C G Hoffman Do 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 Sarah Hoffman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
1.0 mi
Neurology
49 SPRING ST, 2ND FLOOR
Scarborough, ME 04074
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1497052518 (207) 883-1414
Maine Medical Partners
3.1 mi
Surgery
92 CAMPUS DRIVE, 3RD FLOOR
Scarborough, ME 04074
  • Reassigned Medicare billing, Maine enrollment
  • 264 clinicians in this Medicare group
NPI 1346687167 (207) 774-6368

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 04106 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

NATALIE ALISON HUNT MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
STUART VASCHE BRAUN MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
KIRSTEN UELAND GALLERY PA
Physician Assistant (Surgical)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
CARLEY SIMS ELDREDGE PT, DPT
Physical Therapist
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
TYLER GARDINER ATC
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
MISS RILEY MAE BILLINGS
Specialist/Technologist (Athletic Trainer)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040
MAINE CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-2642
KATHLEEN VIRGINIA LONERGAN PA-C
Physician Assistant (Surgical)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 773-0040

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 Sarah Hoffman's NPI number?

The NPI number for Sarah Hoffman is 1295025963. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Sarah Hoffman located?

Sarah Hoffman practices at 119 Gannett Dr, South Portland, ME 04106. The listed phone number is (207) 773-0040.

What is Sarah Hoffman's specialty?

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

Is Sarah Hoffman enrolled in Medicare?

Yes. Sarah Hoffman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sarah Hoffman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Hoffman reassigns Medicare benefits to 2 organizations: Mainehealth (Scarborough, ME) and Maine Medical Partners (Scarborough, ME). 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 Sarah Hoffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Hoffman accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Taro Health list Sarah 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.

When was this NPI record last updated?

The NPPES record for Sarah Hoffman was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.