AMBER BETH HOFFERT P.A.
NPI 1407044514
Physician Assistant in Cookeville, TN


Quality Rating: 95.98 out of 100 score

NPI Status: Active since October 15, 2007

Contact Information

142 W 5TH ST
COOKEVILLE, TN
ZIP 38501
Phone: (866) 313-5259
Fax: (205) 313-5245

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 17
  • Physician Assistant
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About AMBER HOFFERT

Amber Hoffert is a primary care provider established in Cookeville, Tennessee and her medical specialization is Physician Assistant with more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1407044514 assigned on October 2007. The practitioner's primary taxonomy code is 363A00000X with license number 1534 (TN). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1407044514
Provider Name
AMBER BETH HOFFERT P.A.
Gender
Female
Entity Type
Individual
Location Address
142 W 5TH ST COOKEVILLE, TN 38501
Location Phone
(866) 313-5259
Location Fax
(205) 313-5245
Mailing Address
PO BOX 938 COOKEVILLE, TN 38503
Mailing Phone
(866) 313-5259
Mailing Fax
(205) 313-5245
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
10-15-2007
Last Update Date
10-15-2007
Code Navigator

A primary care provider (PCP) like Amber Hoffert sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Amber Hoffert is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.98, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: documentation of current medications in the medical record, e-prescribing, pain assessment and follow-up, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: tobacco use: screening and cessation intervention, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access and security risk analysis.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.08 for a new patient copayment and $17.19 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1534
License State
TN
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross BlueShield of Tennessee

    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B15S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B16S $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross G06S $35 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross G07S $10 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross G08S $30 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S04S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S24S $35 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S25S $55 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S26S $40 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S27S $60 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Amber Hoffert is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1850481847

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20071213000813

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 38501 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.32
  • Minimum New Patient Price $54.58
  • Maximum New Patient Price $167.19
  • Average New Patient Copayment $21.08
  • Minimum New Patient Copayment $13.64
  • Maximum New Patient Copayment $41.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.78
  • Minimum Established Patient Price $16.86
  • Maximum Established Patient Price $136.82
  • Average Established Patient Copayment $17.19
  • Minimum Established Patient Copayment $4.21
  • Maximum Established Patient Copayment $34.2

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 95.98 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 95.27

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Documentation of Current Medications in the Medical Record 96% 3901
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 97% 1917
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Pain Assessment and Follow-Up 98% 3903
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
Patient-Specific Education 0% 2524
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.
Pneumococcal Vaccination Status for Older Adults 73% 1617
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 86
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access 0% 2524
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 certain information.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 3832

    Destruction of 2-14 skin growths (HCPCS:17003)

  • 1011

    Destruction of skin growth (HCPCS:17000)

  • 376

    Tangential biopsy of single skin lesion (HCPCS:11102)

  • 80

    Tangential biopsy of additional skin lesion (HCPCS:11103)

  • 59

    Destruction of up to 14 skin growths (HCPCS:17110)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Amber Hoffert is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
COOKEVILLE REGIONAL MEDICAL CENTER1 MEDICAL CENTER BOULEVARD
COOKEVILLE, TN 38501
(931) 783-2000Acute Care Hospitals

Reviews for AMBER BETH HOFFERT P.A.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407044514
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
240704852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 0 + 4 + 8 + 5 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1407044514 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093719452 MELISSA GEIST NP
Individual
Nurse Practitioner (Family)142 W 5TH ST
COOKEVILLE, TN 38501
(866) 313-5259
1205831526 LEIGH ANN RAY NP
Individual
Nurse Practitioner (Family)142 W 5TH ST
COOKEVILLE, TN 38501
(866) 313-5259
1831194059 HELEN REDDING NP
Individual
Nurse Practitioner (Family)142 W 5TH ST
COOKEVILLE, TN 38501
(866) 313-5259
1285639401 JAMIE TUCKER PA
Individual
Physician Assistant142 W 5TH ST
COOKEVILLE, TN 38501
(866) 313-5259
1942241294 NATASHA D MEADOWS MD
Individual
Internal Medicine142 W 5TH ST
COOKEVILLE, TN 38501
(931) 646-2770
1881618056MRS. NANCY TERRY RICHARDSON APRN,BC
Individual
Nurse Practitioner (Family)142 W 5TH ST
COOKEVILLE, TN 38501
(931) 646-5721
1447402276 MICHAEL STRINGER RPA
Individual
Radiology Practitioner Assistant142 W 5TH ST
COOKEVILLE, TN 38501
(931) 646-5768
1922053750TENNESSEE INPATIENT MEDICINE ASSOCIATES, PLLC
Organization
Internal Medicine142 W 5TH ST
COOKEVILLE, TN 38501
(931) 646-2770
1982650289 BRUCE DEWAYNE JOHNSON MD
Individual
Specialist142 W 5TH ST
COOKEVILLE, TN 38501
(931) 528-2541
1033198981 SPENCER J. MADELL MD
Individual
Radiology (Diagnostic Radiology)142 W 5TH ST
COOKEVILLE, TN 38501
(931) 528-2541
1508831082 GINNY C CHARNOCK MD
Individual
Radiology (Diagnostic Radiology)142 W 5TH ST
COOKEVILLE, TN 38501
(931) 528-2541
1013066810DR. DONALD WAYNE HUFF M.D.
Individual
Radiology (Diagnostic Radiology)142 W 5TH ST
COOKEVILLE, TN 38501
(931) 528-2541
1437279262CUMBERLAND IMAGING ASSOCIATES, PC
Organization
Specialist142 W 5TH ST
COOKEVILLE, TN 38501
(931) 528-2541
1043588734MR. BENJAMIN WADE HARMON FNP-BC
Individual
Nurse Practitioner142 W 5TH ST
COOKEVILLE, TN 38501
(931) 783-2450
1922299395 JERI LYNN BAKER NP
Individual
Nurse Practitioner (Family)142 W 5TH ST
COOKEVILLE, TN 38501
(931) 528-2541
1457355828DR. JOHN W MINCHEY MD
Individual
Emergency Medicine142 W 5TH ST
COOKEVILLE, TN 38501
(866) 313-5259

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407044514, enumerated in the NPI registry as an "individual" on October 15, 2007

The provider is located at 142 W 5th St Cookeville, Tn 38501 and the phone number is (866) 313-5259

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 17 years of experience.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

Medicare beneficiaries should expect a typical cost of $84.32 with an average copayment of $21.08 for new patient appointments. Established patients should expect a typical charge of $68.78 and an average copayment of 17.19. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Destruction of 2-14 skin growths, Destruction of skin growth, Tangential biopsy of single skin lesion, Tangential biopsy of additional skin lesion and Destruction of up to 14 skin growths.

The practitioner is affiliated to the following hospital(s): COOKEVILLE REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on October 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.