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CAROL HOFFMAN MD
NPI 1487760153
Ophthalmology in King Of Prussia, PA

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
87.52/100
CMS Quality Rating
601 S HENDERSON RD, SUITE 250, KING OF PRUSSIA, PA 19406(610) 491-2127(610) 337-2133 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol Hoffman Md NPPES

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

CAROL HOFFMAN MD (NPI 1487760153) is an individual ophthalmology provider in King Of Prussia, Pennsylvania, licensed in Delaware (CI0003986) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1990).

NPPES Registry Identity

NPI1487760153
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameCAROL HOFFMANCredential: MD
Location Address601 S HENDERSON RD, SUITE 250King Of Prussia, PA 19406-3596
Mailing Address2060 Limestone Rd, Suite 205Wilmington, DE 19808-5500 · (302) 657-0386 · Fax (610) 337-2133
Phone(610) 491-2127
Fax(610) 337-2133
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1990
Enumeration DateAugust 22, 2006
Last NPPES UpdateDecember 26, 2012
✔ NPI 1487760153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in DE · CI0003986
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
601 S HENDERSON RD, King Of Prussia, PA 19406
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Other Names 1

Former Name (1)Carol James

Other Identifiers 2

Medicare ID-Type UnspecifiedG021874D01DE
Medicare UPINF87261

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Carol Hoffman 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 ID8729013321
PECOS Enrollment IDI20130508000036, I20131014000336
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19406 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

87.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability92
Improvement Activities40
Cost60.88

Other Providers at the Same Location NPPES 2

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

DELAWARE VISION ASSOCIATES GROUP PRACTICE PA
Ophthalmology
601 S HENDERSON RD, SUITE 250
KING OF PRUSSIA, PA 19406
Montgomery County (610) 491-2127
MRS. GABRIELA ANAHI MONGELOS LBS
Behavior Analyst
601 S HENDERSON RD
KING OF PRUSSIA, PA 19406
Montgomery County (610) 905-1965

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 Carol Hoffman's NPI number?

The NPI number for Carol Hoffman is 1487760153. It was assigned to this individual provider in the NPPES registry on August 22, 2006. The provider is also known as Carol James.

Where is Carol Hoffman located?

Carol Hoffman practices at 601 S Henderson Rd Suite 250, King Of Prussia, PA 19406. The listed phone number is (610) 491-2127.

What is Carol Hoffman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Carol Hoffman enrolled in Medicare?

Yes. Carol 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 Carol Hoffman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Carol 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.

When was this NPI record last updated?

The NPPES record for Carol Hoffman was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.