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KRISHALI D GUNARATNE HOFFMAN DO
NPI 1427074335
Family Medicine in Pearland, TX

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
10970 SHADOW CREEK PKWY, STE 350, PEARLAND, TX 77584(281) 997-1510(281) 997-6532 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krishali D Gunaratne Hoffman Do NPPES

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

KRISHALI D GUNARATNE HOFFMAN DO (NPI 1427074335) is an individual family medicine provider in Pearland, Texas, licensed in Texas (K8213) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1996).

NPPES Registry Identity

NPI1427074335
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISHALI D GUNARATNE HOFFMANCredential: DO
Location Address10970 SHADOW CREEK PKWY, STE 350Pearland, TX 77584
Mailing Address10970 Shadow Creek Pkwy, Suite 330Pearland, TX 77584-0100 · (713) 436-3697
Phone(281) 997-1510
Fax(281) 997-6532
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1996
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 17, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1427074335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K8213
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10970 SHADOW CREEK PKWY, Pearland, TX 77584
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.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

Krishali D Gunaratne Hoffman Do 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 ID8022033174
PECOS Enrollment IDI20051007000852
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 4

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 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.
173 services101 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.
163 services92 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Pearland

Acute Care Hospitals · Pearland, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670106
Location11100 Shadow Creek ParkwayPearland, TX 77584 · Brazoria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77584 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
$88.15 typical visit price
range $57.16 – $172.89
Typical copayment $22.03 (range $14.29 – $43.22)
Most-billed visit code 99203
Established Patient
$100.84 typical visit price
range $18.45 – $141.27
Typical copayment $25.21 (range $4.61 – $35.31)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
43%679 patients2/55-star benchmark: 99%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
86%208 patients4/55-star benchmark: 100%
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
37%201 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
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.
100%4,761 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.
80%2,944 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%74 patients1/55-star benchmark: 98%
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.
16%802 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
2%244 patients1/55-star benchmark: 95%
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…
94%2,273 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
60%2,222 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
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
37%140 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
73%1,625 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…
52%802 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
26%802 patients2/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims22 services$6.01 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$21.54 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.

UNGS PRIMARY, P.A.
Clinic/Center (Primary Care)
10970 SHADOW CREEK PKWY, SUITE 250
PEARLAND, TX 77584
Brazoria County (713) 436-9475
LINDA WANG M.D.
Family Medicine
10970 SHADOW CREEK PKWY, PEARLAND EMERGENCY CENTER
PEARLAND, TX 77584
Brazoria County (713) 770-7200
DR. JAIME JENEE MIDDLETON MD
Obstetrics & Gynecology
10970 SHADOW CREEK PKWY, SUITE NUMBER 250
PEARLAND, TX 77584
Brazoria County (832) 615-1109
ALYSSA CATHERINE WERNER RD
Dietitian, Registered
10970 SHADOW CREEK PKWY, SUITE 270
PEARLAND, TX 77584
Brazoria County (713) 840-5245
SKAGGS HEALTH CONSULTANTS, PLLC
Chiropractor
10970 SHADOW CREEK PKWY, SUITE 250
PEARLAND, TX 77584
Brazoria County (713) 340-1900
DR. SWETANSHU CHAUDHARI MD
Surgery (Plastic and Reconstructive Surgery)
10970 SHADOW CREEK PKWY, STE 110
PEARLAND, TX 77584
Brazoria County (832) 398-0112
DCOA PHYSICIAN ASSOCIATES PA
Clinic/Center (Medical Specialty)
10970 SHADOW CREEK PKWY, SUITE 270
PEARLAND, TX 77584
Brazoria County (713) 840-5210
CHAY UNG MD
Family Medicine
10970 SHADOW CREEK PKWY, SUITE 250
PEARLAND, TX 77584
Brazoria County (713) 436-9475

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 Krishali Gunaratne Hoffman's NPI number?

The NPI number for Krishali Gunaratne Hoffman is 1427074335. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Krishali Gunaratne Hoffman located?

Krishali Gunaratne Hoffman practices at 10970 Shadow Creek Pkwy Ste 350, Pearland, TX 77584. The listed phone number is (281) 997-1510.

What is Krishali Gunaratne Hoffman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Krishali Gunaratne Hoffman enrolled in Medicare?

Yes. Krishali Gunaratne 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 Krishali Gunaratne Hoffman accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Krishali Gunaratne 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 Krishali Gunaratne Hoffman affiliated with any hospitals?

According to CMS data, Krishali Gunaratne Hoffman is affiliated with Memorial Hermann Hospital System and Hca Houston Healthcare Pearland.

When was this NPI record last updated?

The NPPES record for Krishali Gunaratne Hoffman was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.