DR. MARK T HOFFMANN MD
NPI 1356342034
Internal Medicine - Interventional Cardiology in Wausau, WI

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RI0011X and a focus in Interventional Cardiology.

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment

84.55/100

CMS Quality Rating

500 WIND RIDGE DR, WAUSAU, WI 54401(715) 847-2611(715) 847-2465 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Mark T Hoffmann Md NPPES

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

DR. MARK T HOFFMANN MD (NPI 1356342034) is an individual interventional cardiology provider in Wausau, Wisconsin, licensed in Wisconsin (35269) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Aspirus Keweenaw Hospital And Clinics, and is a graduate of University Of Wisconsin School Of Medicine (1987).

NPPES Registry Identity

NPI1356342034

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. MARK T HOFFMANNCredential: MD

Location Address500 WIND RIDGE DRWausau, WI 54401-4173

Mailing Address500 Wind Ridge DrWausau, WI 54401-4173 · (715) 847-2611 · Fax (715) 847-2465

Phone(715) 847-2611

Fax(715) 847-2465

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1987

Enumeration DateAugust 3, 2005

Last NPPES UpdateOctober 21, 2016

✔ NPI 1356342034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in WI · 35269

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35269 (WI)

500 WIND RIDGE DR, Wausau, WI 54401

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Other Identifiers 2

Medicaid32014700WI

Medicare PIN393150189WI

Accepted Insurance

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

Dr. Mark T Hoffmann 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 ID8527966803

PECOS Enrollment IDI20050706000135, I20090114000396

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 28

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

480 services39 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

286 services243 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

268 services262 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

143 services72 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

92 services91 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

85 services42 patients

Follow-up hospital inpatient care per day, typically 35 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

68 services41 patients

Injection, octafluoropropane microspheres, per ml Q9956

Octafluoropropane microspheres injection is a procedure where tiny gas-filled bubbles are injected into your bloodstream. These bubbles help improve the quality of ultrasound images by enhancing the contrast, aiding in the detection and diagnosis of certain conditions.

51 services17 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

45 services38 patients

New patient office or other outpatient visit, 45-59 minutes 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.

43 services43 patients

Initial hospital inpatient care per day, typically 70 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.

43 services42 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

31 services31 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

30 services30 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

24 services24 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) 93017

An exercise or drug-induced heart stress test with an ECG checks how your heart responds to stress. You'll either exercise on a treadmill or be given medication to stress your heart. An ECG then captures your heart's activity, helping detect any issues.

24 services24 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

23 services22 patients

Follow-up hospital inpatient care per day, typically 25 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

23 services16 patients

Blood test, basic group of blood chemicals (calcium, ionized) 80047

A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.

17 services14 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

17 services17 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

17 services17 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

17 services16 patients

New patient office or other outpatient visit, 60-74 minutes 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.

16 services16 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

15 services15 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services14 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

13 services13 patients

Pacemaker insertion or repair NAN10

Pacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.

0 services1 patient

Hospital Affiliations CMS Care Compare 5

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

Aspirus Keweenaw Hospital And Clinics

Critical Access Hospitals · Laurium, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231319

Location205 OsceolaLaurium, MI 49913 · Houghton County

Emergency services Birthing friendly

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number231333

LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County

Emergency services Birthing friendly

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520002

Location900 Illinois AveStevens Point, WI 54481 · Portage County

Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520019

Location2251 North Shore DrRhinelander, WI 54501 · Oneida County

Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number520030

Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

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.

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.

84.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.81

Promoting Interoperability

100

Improvement Activities

Cost

53.8

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

3 suppliers53 claims74 services$18.81 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers45 claims45 services$18.20 avg. paid by Medicare

Ultrasonic/electronic aerosol generator with small volume nebulizer E0574

DME-Other DME · category DE000N

3 suppliers40 claims40 services$29.00 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers72 claims72 services$101.49 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers27 claims27 services$33.10 avg. paid by Medicare

Injection, treprostinil, 1 mg J3285

Treatment-Injections and Infusions (nononcologic) · category RI026N

3 suppliers54 claims4,058 services$44.25 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.

MRS. LORI K ERDMAN ANPC

Nurse Practitioner