1. Home
  2. Directory
  3. West Virginia
  4. Kingwood
  5. Psychiatry Neurology
  6. NPI Profile

MR. DONALD HOFFMAN M.D.
NPI 1396772059
Psychiatry & Neurology - Neurology in Kingwood, WV

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
81.93/100
CMS Quality Rating
300 S. PRICE ST., C/O PRESTON MEMORIAL HOSPITAL, KINGWOOD, WV 26537(304) 329-1400(304) 329-1175 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Donald Hoffman M.d. NPPES

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

MR. DONALD HOFFMAN M.D. (NPI 1396772059) is an individual neurology provider in Kingwood, West Virginia, licensed in West Virginia (17028) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Preston Memorial Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1396772059
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. DONALD HOFFMANCredential: M.D.
Location Address300 S. PRICE ST., C/O PRESTON MEMORIAL HOSPITALKingwood, WV 26537
Mailing Address300 S Price St, C/o Preston Memorial HospitalKingwood, WV 26537-1442 · (304) 329-1400 · Fax (304) 329-1175
Phone(304) 329-1400
Fax(304) 329-1175
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 14, 2010
✔ NPI 1396772059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WV · 17028
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
300 S. PRICE ST., Kingwood, WV 26537
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINBH0784288WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, CareSource 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

Mr. Donald Hoffman M.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 ID4688689151
PECOS Enrollment IDI20060221000119, I20220906002187
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
50 services27 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.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26537 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

81.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.57
Promoting Interoperability100
Improvement Activities40
Cost60.2

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 Donald Hoffman's NPI number?

The NPI number for Donald Hoffman is 1396772059. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Donald Hoffman located?

Donald Hoffman practices at 300 S. Price St. C/O Preston Memorial Hospital, Kingwood, WV 26537. The listed phone number is (304) 329-1400.

What is Donald Hoffman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Donald Hoffman enrolled in Medicare?

Yes. Donald Hoffman 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 Donald Hoffman accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, CareSource and Imperial Insurance Companies, Inc. list Donald 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.

Is Donald Hoffman affiliated with any hospitals?

According to CMS data, Donald Hoffman is affiliated with Preston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Hoffman was last updated on September 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.