MRS. SUSAN E HOFFSTETTER PHD NP
NPI 1326016619
Nurse Practitioner - Women's Health in Saint Louis, MO

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1031 BELLEVUE AVE STE 200, SAINT LOUIS, MO 63117(314) 977-7455(314) 977-7477 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Susan E Hoffstetter Phd Np NPPES

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

MRS. SUSAN E HOFFSTETTER PHD NP (NPI 1326016619) is an individual women's health provider in Saint Louis, Missouri, licensed in Missouri (NCCIDHOF104301125) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1326016619
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. SUSAN E HOFFSTETTERCredential: PHD NP
Location Address1031 BELLEVUE AVE STE 200Saint Louis, MO 63117-1856
Mailing Address6420 Clayton Rd, Ste. 290Saint Louis, MO 63117-1811 · (314) 781-1031 · Fax (314) 781-2840
Fax(314) 977-7477
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMarch 10, 2006
Last NPPES UpdateJanuary 14, 2021
NPPES CertifiedJanuary 14, 2021
NPI 1326016619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in MO · NCCIDHOF104301125
1031 BELLEVUE AVE STE 200, Saint Louis, MO 63117

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

Mrs. Susan E Hoffstetter Phd Np 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 ID9436287927
PECOS Enrollment IDI20100504000131
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 7

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
178 services115 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.
109 services85 patients
Smear for infectious agents 87210
A smear for infectious agents is a simple test done to identify harmful microorganisms in your body. A sample is taken from your body, spread thinly onto a slide, and examined under a microscope. This helps in diagnosing various infections and diseases.
68 services26 patients
Body fluid ph level 83986
A body fluid pH level test measures the acidity or alkalinity of your body fluids, such as blood or urine. It's crucial for maintaining good health as it can affect your body's ability to carry out vital functions. Imbalances might indicate a health issue.
40 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 5

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

Obstetrics & Gynecology (Gynecology)
1031 BELLEVUE AVE STE 200
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1031 BELLEVUE AVE STE 200
SAINT LOUIS, MO 63117
Internal Medicine (Cardiovascular Disease)
1031 BELLEVUE AVE STE 200
SAINT LOUIS, MO 63117
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1031 BELLEVUE AVE STE 200
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1031 BELLEVUE AVE STE 200
SAINT LOUIS, MO 63117

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 Susan Hoffstetter's NPI number?

The NPI number for Susan Hoffstetter is 1326016619. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Susan Hoffstetter located?

Susan Hoffstetter practices at 1031 Bellevue Ave Ste 200, Saint Louis, MO 63117. The listed phone number is (314) 977-7455.

What is Susan Hoffstetter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Susan Hoffstetter enrolled in Medicare?

Yes. Susan Hoffstetter 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 Susan Hoffstetter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Susan Hoffstetter 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 Susan Hoffstetter was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.