GAYLORD THOMAS HOFFERT MD
NPI 1447235965
Internal Medicine - Nephrology in Pinehurst, NC

Q: What is Gaylord Hoffert's NPI number?

The NPI number for Gaylord Hoffert is 1447235965. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Gaylord Hoffert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Gaylord Hoffert was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment

293 OLMSTED BLVD STE 7, PINEHURST, NC 28374(910) 295-3344(910) 295-3165 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2025, Apr 22, 2024, Apr 17, 2024 and 1 more (4 updates tracked since 2019).

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About Gaylord Thomas Hoffert Md NPPES

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

GAYLORD THOMAS HOFFERT MD (NPI 1447235965) is an individual nephrology provider in Pinehurst, North Carolina, licensed in North Carolina (264798) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Logan County Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447235965

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameGAYLORD THOMAS HOFFERTCredential: MD

Location Address293 OLMSTED BLVD STE 7Pinehurst, NC 28374-9191

Mailing Address293 Olmsted Blvd Ste 7Pinehurst, NC 28374-9191 · (910) 295-3344 · Fax (910) 295-3165

Phone(910) 295-3344

Fax(910) 295-3165

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateDecember 7, 2005

Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1447235965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in NC · 264798✔ Licensed in WV · 28721✔ Licensed in KS · 04-48303✔ Licensed in WI · 74120✔ Licensed in NY · 236787✔ Licensed in NM · MD2019-0048

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

293 OLMSTED BLVD STE 7, Pinehurst, NC 28374

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Secondary Practice Locations 2

Location 1325 Meeting House Ln, Building #2 Suite 403Southampton, NY 11968-5087 · Phone (631) 283-2100 · Fax (631) 283-5731

Location 21818 N Meade StAppleton, WI 54911-3454 · Phone (920) 735-7645 · Fax (920) 735-7618

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Aspirus Health Plan, Blue Cross and Blue Shield of Kansas, Inc. and more.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

Gaylord Thomas Hoffert Md 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 ID6608801329

PECOS Enrollment IDI20050930000809, I20200116002226, I20201023000759, I20260205002107

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

Medicare enrollment records show Gaylord Hoffert reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinehurst Nephrology Associates, PC

Same address

Nephrology

293 OLMSTED BLVD STE 7
Pinehurst, NC 28374

Reassigned Medicare billing, North Carolina enrollment
8 clinicians in this Medicare group

NPI 1700889557 (910) 295-3344

Charleston Area Medical Center, Inc.

185 mi

Hospitalist

1320 MAPLEWOOD AVE
Ronceverte, WV 24970

Reassigned Medicare billing, West Virginia enrollment
1,511 clinicians in this Medicare group

NPI 1972125995 (304) 793-2220

Nuview Telehealth, LLC

610 mi

Specialist

1825 NW CORPORATE BLVD STE 105
Boca Raton, FL 33431

Reassigned Medicare billing, Florida and West Virginia enrollments
139 clinicians in this Medicare group

NPI 1538300181 (561) 299-3667

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.

718 mi

Internal Medicine

W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051

Reassigned Medicare billing, Wisconsin enrollment
2,294 clinicians in this Medicare group

NPI 1568787448 (262) 255-2500

Thedacare, Incorporated

783 mi

Counselor

1095 MIDWAY RD
Menasha, WI 54952

Reassigned Medicare billing, Wisconsin and New York enrollments
Also billed through NPI 1376656959 (New York)
988 clinicians in this Medicare group

NPI 1306959515 (920) 720-2300

Baldwin Area Medical Center Inc.

946 mi

Clinic/Center

114 E AKERS ST
Spring Valley, WI 54767

Reassigned Medicare billing, Wisconsin enrollment
211 clinicians in this Medicare group

NPI 1164272324 (715) 684-1111

Rawlins County Health Center

1,223 mi

Primary Care

707 GRANT ST
Atwood, KS 67730

Reassigned Medicare billing, Kansas enrollment
13 clinicians in this Medicare group

NPI 1306883046 (785) 626-3241

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 12

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 50 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.

336 services121 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

310 services44 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.

221 services118 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

76 services72 patients

Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth G0407

A follow-up inpatient consultation is a service where a doctor spends around 25 minutes discussing your health progress via telehealth. This virtual meeting helps track your recovery, manage your treatment plan, and address any concerns you may have. It's a crucial part of your ongoing care.

72 services31 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.

64 services51 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

62 services34 patients

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.

26 services20 patients

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425

A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.

22 services22 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

21 services13 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.

19 services19 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Logan County Hospital

Critical Access Hospitals · Oakley, KS

OwnershipGovernment - Local

CMS Certification Number171326

Location211 Cherry AvenueOakley, KS 67748 · Logan County

Emergency services

Community Medical Center

Acute Care Hospitals · Missoula, MT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270023

Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula County

Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340115

Location155 Memorial DrivePinehurst, NC 28374 · Moore County

Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197

Other-Enteral and Parenteral · category OB005N

1 supplier40 claims120 services$278.46 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

1 supplier40 claims120 services$7.97 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

1 supplier40 claims120 services$24.89 avg. paid by Medicare

Parenteral nutrition infusion pump, portable B9004

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims11 services$398.57 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

7 suppliers25 claims3,150 services$0.30 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers12 claims2,280 services$0.21 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 5

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

DR. EDWARD WILLIAM HOEHN-SARIC MD

Internal Medicine (Nephrology)