PAUL WESLEY HOFFERBERT MD
NPI 1336164078
Hospitalist in North Wilkesboro, NC

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1370 W D ST, NORTH WILKESBORO, NC 28659(336) 651-8294(336) 651-8100 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2024, Feb 12, 2019, Jan 16, 2019 and 8 more (11 updates tracked since 2017).

About Paul Wesley Hofferbert Md NPPES

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

PAUL WESLEY HOFFERBERT MD (NPI 1336164078) is an individual hospitalist provider in North Wilkesboro, North Carolina, licensed in North Carolina (9800277) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1995).

NPPES Registry Identity

NPI1336164078
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePAUL WESLEY HOFFERBERTCredential: MD
Location Address1370 W D STNorth Wilkesboro, NC 28659-3506
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 651-8294 · Fax (336) 651-8100
Fax(336) 651-8100
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1995
Enumeration DateJuly 13, 2006
Last NPPES UpdateAugust 14, 202411 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1336164078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 9800277
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1370 W D ST, North Wilkesboro, NC 28659

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Wesley Hofferbert 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 ID3476561606
PECOS Enrollment IDI20060330000300, I20180905001548
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

5

Medicare enrollment records show Paul Hofferbert reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Cardiology
3431 MORGANTON BLVD SW
Lenoir, NC 28645
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Surgery
224 W MAIN ST
Hamlet, NC 28345
  • Reassigned Medicare billing, North Carolina enrollment
  • 248 clinicians in this Medicare group
Family Medicine
320 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 216 clinicians in this Medicare group
Hospitalist
2000 HOSPITAL DR
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 61 clinicians in this Medicare group

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 3

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 moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
127 services127 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 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.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340064
Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County
Emergency services Birthing friendly

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28659 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
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.

Internal Medicine (Cardiovascular Disease)
1370 W D ST
NORTH WILKESBORO, NC 28659
Physician Assistant
1370 W D ST
N WILKESBORO, NC 28659
Nurse Anesthetist, Certified Registered
1370 W D ST
N WILKESBORO, NC 28659
Emergency Medicine
1370 W D ST
NORTH WILKESBORO, NC 28659
Emergency Medicine
1370 W D ST
NORTH WILKESBORO, NC 28659
Emergency Medicine
1370 W D ST
NORTH WILKESBORO, NC 28659
Emergency Medicine
1370 W D ST
NORTH WILKESBORO, NC 28659
Nurse Anesthetist, Certified Registered
1370 W D ST
NORTH WILKESBORO, NC 28659

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 Paul Hofferbert's NPI number?

The NPI number for Paul Hofferbert is 1336164078. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Paul Hofferbert located?

Paul Hofferbert practices at 1370 W D St, North Wilkesboro, NC 28659. The listed phone number is (336) 651-8294.

What is Paul Hofferbert's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Paul Hofferbert enrolled in Medicare?

Yes. Paul Hofferbert 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.

Which organizations bill Medicare for Paul Hofferbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Hofferbert reassigns Medicare benefits to 5 organizations: Carolinas Physicians Network Inc (Lenoir, NC), Wake Forest University Health Sciences (Winston Salem, NC), Scotland Regional Health Network (Hamlet, NC), Columbus Regional Health Network (Whiteville, NC) and South Carolina Group Services, LLC (Mount Pleasant, SC). 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 Paul Hofferbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Hofferbert accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Paul Hofferbert 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 Paul Hofferbert affiliated with any hospitals?

According to CMS data, Paul Hofferbert is affiliated with Carolinas Medical Center-Northeast, Scotland Memorial Hospital, Wilkes Regional Medical Center, Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Paul Hofferbert was last updated on August 14, 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.