CAROL HOFFMAN MD
NPI 1487760153
Ophthalmology in King Of Prussia, PA
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Carol Hoffman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
King Of Prussia, PA 19406
- Reassigned Medicare billing, Pennsylvania enrollment
- 24 clinicians in this Medicare group
Iselin, NJ 08830
- Reassigned Medicare billing, New Jersey enrollment
- 61 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
KING OF PRUSSIA, PA 19406
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.
Which organizations bill Medicare for Carol Hoffman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Hoffman reassigns Medicare benefits to 2 organizations: Delaware Valley Vision Associates Group Practice, LLC (King Of Prussia, PA) and Omni Eye Specialists P A (Iselin, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Hoffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Hoffman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, AmeriHealth Caritas Next and Oscar Health 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.
# Carol Hoffman, MD · NPI 1487760153
Ophthalmology physician in King Of Prussia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 22, 2006.
## Identity
- **NPI:** 1487760153 (Entity type: Individual)
- **Enumerated:** August 22, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** CI0003986 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 S HENDERSON RD, SUITE 250, King Of Prussia, PA 19406-3596
- **Phone:** (610) 491-2127 · **Fax:** (610) 337-2133
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Delaware Valley Vision Associates Group Practice, LLC (NPI 1902907371, King Of Prussia, PA); Omni Eye Specialists P A (NPI 1376593863, Iselin, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 1990
## Record status
- **NPPES last updated:** December 26, 2012
- **Other identifiers:** Medicare ID-Type Unspecified G021874D01 (DE); Medicare UPIN F87261
---
Source: [NPI Profile](https://npiprofile.com/npi/1487760153) · Data from the CMS NPPES public registry.