DR. GREGORY TODD HOFELDT M.D.
NPI 1497771943
Ophthalmology in Fall River, MA

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1565 N MAIN ST, SUITE 406, FALL RIVER, MA 02720(508) 677-0041(508) 677-0975 Get Directions Write a Review

NPPES record last updated: November 4, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Gregory Todd Hofeldt M.d. NPPES

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

DR. GREGORY TODD HOFELDT M.D. (NPI 1497771943) is an individual ophthalmology provider in Fall River, Massachusetts, licensed in New York (240012) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Albany Medical College Of Union University (2002).

NPPES Registry Identity

NPI1497771943
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. GREGORY TODD HOFELDTCredential: M.D.
Location Address1565 N MAIN ST, SUITE 406Fall River, MA 02720-2972
Mailing Address1565 N Main St, Suite 406Fall River, MA 02720-2972 · (508) 677-0041 · Fax (508) 677-2515
Fax(508) 677-0975
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2002
Enumeration DateJuly 15, 2006
Last NPPES UpdateNovember 4, 2009
NPI 1497771943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 240012
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.
1565 N MAIN ST, Fall River, MA 02720

Other Identifiers 1

Medicaid2141949MA

Accepted 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

Dr. Gregory Todd Hofeldt M.d. 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 ID7113927153
PECOS Enrollment IDI20070824000569, I20071102000309
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 22

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
891 services840 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
437 services397 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
297 services255 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
285 services241 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
272 services185 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
246 services141 patients

Hospital Affiliations CMS Care Compare

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost96.44

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.

Optometrist
1565 N MAIN ST, STE 406
FALL RIVER, MA 02720
Physician Assistant (Surgical)
1565 N MAIN ST
FALL RIVER, MA 02720
Physical Therapist
1565 N MAIN ST
FALL RIVER, MA 02720
Ophthalmology
1565 N MAIN ST, STE 406
FALL RIVER, MA 02720
Community Health Worker
1565 N MAIN ST
FALL RIVER, MA 02720
Orthopaedic Surgery
1565 N MAIN ST
FALL RIVER, MA 02720
Ophthalmology
1565 N MAIN ST, SUITE 406
FALL RIVER, MA 02720
Counselor (Mental Health)
1565 N MAIN ST
FALL RIVER, MA 02720

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 Gregory Hofeldt's NPI number?

The NPI number for Gregory Hofeldt is 1497771943. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Gregory Hofeldt located?

Gregory Hofeldt practices at 1565 N Main St Suite 406, Fall River, MA 02720. The listed phone number is (508) 677-0041.

What is Gregory Hofeldt's specialty?

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

Is Gregory Hofeldt enrolled in Medicare?

Yes. Gregory Hofeldt 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 Gregory Hofeldt accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Gregory Hofeldt 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 Gregory Hofeldt affiliated with any hospitals?

According to CMS data, Gregory Hofeldt is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Gregory Hofeldt was last updated on November 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.