DR. MARK RICHARD HOFFMAN MD
NPI 1508189168
Obstetrics & Gynecology - Gynecology in Lexington, KY

Active since March 10, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE ST RM C-375, LEXINGTON, KY 40536(859) 323-6434 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Richard Hoffman Md NPPES

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

DR. MARK RICHARD HOFFMAN MD (NPI 1508189168) is an individual gynecology provider in Lexington, Kentucky, licensed in Kentucky (45277) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Kentucky College Of Medicine (2006).

NPPES Registry Identity

NPI1508189168
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. MARK RICHARD HOFFMANCredential: MD
Location Address800 ROSE ST RM C-375Lexington, KY 40536-0084
Mailing Address800 Rose St Rm C-375Lexington, KY 40536-0084 · (859) 323-6434
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2006
Enumeration DateMarch 10, 2010
Last NPPES UpdateAugust 2, 2017
NPI 1508189168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Licenses Licensed in KY · 45277 Licensed in KY · TP466
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 125-051197 (IL), 4301095856 (MI), 45277 (KY)
800 ROSE ST RM C-375, Lexington, KY 40536

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. Mark Richard 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 ID9133314206
PECOS Enrollment IDI20120831000109
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

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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
Promoting Interoperability100
Improvement Activities40

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 Mark Hoffman's NPI number?

The NPI number for Mark Hoffman is 1508189168. It was assigned to this individual provider in the NPPES registry on March 10, 2010.

Where is Mark Hoffman located?

Mark Hoffman practices at 800 Rose St Rm C-375, Lexington, KY 40536. The listed phone number is (859) 323-6434.

What is Mark Hoffman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Mark Hoffman enrolled in Medicare?

Yes. Mark 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 Mark Hoffman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Mark 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 Mark Hoffman affiliated with any hospitals?

According to CMS data, Mark Hoffman is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Mark Hoffman was last updated on August 2, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.