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: July 19, 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
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

Other Identifiers 1

Medicare UPINBH0784288WV

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

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 IDI20220906002187
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 3

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.

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.
55 services38 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
50 services50 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.
18 services11 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

The NPI number assigned to this healthcare provider is 1396772059, enumerated as an "individual" on June 27, 2006.

The provider is located at 300 S. PRICE ST. C/O PRESTON MEMORIAL HOSPITAL KINGWOOD, WV 26537 and the phone number is (304) 329-1400.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Antidote Health Plan of Arizona, Inc., Blue Cross. Please consult your insurance carrier or call the provider to verify.

Donald Hoffman is affiliated with: PRESTON MEMORIAL HOSPITAL.