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BREANNA K HOFFMANN O.D.
NPI 1356717011
Optometrist in Medford, WI

Active since August 18, 2015PECOS EnrolledAccepts Medicare Assignment
94.31/100
CMS Quality Rating
353 N 8TH ST, MEDFORD, WI 54451(715) 748-2020(715) 748-4565 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2024, Aug 30, 2023, Oct 28, 2022 and 2 more (5 updates tracked since 2019).

About Breanna K Hoffmann O.d. NPPES

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

BREANNA K HOFFMANN O.D. (NPI 1356717011) is an individual optometrist in Medford, Wisconsin, licensed in Wisconsin (374835) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colby, and is a graduate of Ohio State University - College Of Optometry (2015).

NPPES Registry Identity

NPI1356717011
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameBREANNA K HOFFMANNCredential: O.D.
Location Address353 N 8TH STMedford, WI 54451-1515
Mailing Address353 N 8th StMedford, WI 54451-1515 · (715) 748-2020 · Fax (715) 748-4565
Phone(715) 748-2020
Fax(715) 748-4565
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2015
Enumeration DateAugust 18, 2015
Last NPPES UpdateOctober 9, 20245 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1356717011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in WI · 374835✔ Licensed in AZ · 2068✔ Licensed in WI · 3748-35
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
353 N 8TH ST, Medford, WI 54451
Open in Google Maps ↗

Secondary Practice Location 1

Location 1120 Dehne Dr Ste GColby, WI 54421-9589 · Phone (715) 223-4003 · Fax (715) 223-4417

Accepted Insurance

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

Breanna K Hoffmann O.d. 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 ID9931416021
PECOS Enrollment IDI20220725003028
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

3

Medicare enrollment records show Breanna Hoffmann reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthview Eye Care Center-Medford Sc
Same address
Optometrist
353 N 8TH ST
Medford, WI 54451
  • Reassigned Medicare billing, Wisconsin enrollment
  • 8 clinicians in this Medicare group
NPI 1164492872 (715) 748-2020
Healthview Eye Care Centers, Sc
16 mi
Optometrist
120 DEHNE DR
Colby, WI 54421
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Healthview Eye Care Center, Sc
  • 7 clinicians in this Medicare group
NPI 1588634208 (715) 223-4003
Lake Havasu Family Eyecare, LLC
1,465 mi
Optometrist
2277 SWANSON AVE STE 100
Lake Havasu City, AZ 86403
  • Reassigned Medicare billing, Arizona enrollment
  • 12 clinicians in this Medicare group
NPI 1457569121 (928) 855-5026

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 8

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
105 services105 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.
47 services39 patients
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.
36 services30 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
34 services27 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
28 services24 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54451 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

94.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.63
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%56 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%210 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%914 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
67%117 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
9%687 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

HEALTHVIEW EYE CARE CENTER-MEDFORD SC
Optometrist
353 N 8TH ST
MEDFORD, WI 54451
Taylor County (715) 748-2020
BETSY L MEINEL O.D.
Optometrist
353 N 8TH ST
MEDFORD, WI 54451
Taylor County (715) 748-2020
DR. JADEN ROSE CARSTENSEN OD
Optometrist
353 N 8TH ST
MEDFORD, WI 54451
Taylor County (715) 748-2020

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 Breanna Hoffmann's NPI number?

The NPI number for Breanna Hoffmann is 1356717011. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Breanna Hoffmann located?

Breanna Hoffmann practices at 353 N 8th St, Medford, WI 54451. The listed phone number is (715) 748-2020.

What is Breanna Hoffmann's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Breanna Hoffmann enrolled in Medicare?

Yes. Breanna Hoffmann 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 Breanna Hoffmann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Hoffmann reassigns Medicare benefits to 3 organizations: Healthview Eye Care Center-Medford Sc (Medford, WI), Healthview Eye Care Centers, Sc (Colby, WI) and Lake Havasu Family Eyecare, LLC (Lake Havasu City, AZ). 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 Breanna Hoffmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breanna Hoffmann accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Security Health Plan list Breanna Hoffmann 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 Breanna Hoffmann was last updated on October 9, 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.