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MRS. KAREN R HOFFMAN OD
NPI 1558463588
Optometrist in Orange Park, FL

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
93.3/100
CMS Quality Rating
905 PARK AVE, SUITE 100, ORANGE PARK, FL 32073(904) 264-1206(904) 264-3685 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Karen R Hoffman Od NPPES

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

MRS. KAREN R HOFFMAN OD (NPI 1558463588) is an individual optometrist in Orange Park, Florida, licensed in Florida (OPC4149) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2006).

NPPES Registry Identity

NPI1558463588
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. KAREN R HOFFMANCredential: OD
Location Address905 PARK AVE, SUITE 100Orange Park, FL 32073-4101
Mailing Address905 Park Ave, Suite 100Orange Park, FL 32073-4101 · (904) 264-1206 · Fax (904) 264-3685
Phone(904) 264-1206
Fax(904) 264-3685
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2006
Enumeration DateSeptember 1, 2006
Last NPPES UpdateMarch 15, 2019
✔ NPI 1558463588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC4149
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
905 PARK AVE, Orange Park, FL 32073
Open in Google Maps ↗

Other Identifiers 4

Other36025FL · Bcbs
Medicaid621322700FL
OtherP00768833FL · Group Member Ptan
Other592812237FL · Group Tax Id/itin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Mrs. Karen R Hoffman Od 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 ID6305943663
PECOS Enrollment IDI20070521000542
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 3

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 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.
47 services24 patients
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.
21 services21 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).
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

93.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Improvement Activities40

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 KYLE D ABSHIRE & DR JAMES R HOFFMAN PA
Optometrist (Corneal and Contact Management)
905 PARK AVE, 100
ORANGE PARK, FL 32073
Clay County (904) 264-1206
DR. JOHN JAMES HOFFMAN OD
Optometrist
905 PARK AVE, #100
ORANGE PARK, FL 32073
Clay County (904) 264-1206
DR. KYLE D ABSHIRE O.D.
Optometrist
905 PARK AVE, STE 100
ORANGE PARK, FL 32073
Clay County (904) 264-1206
DR. CHRISTINA BETH BOWMAN OD
Optometrist
905 PARK AVE, SUITE 100
ORANGE PARK, FL 32073
Clay County (904) 264-1206
JAMES ROBERT HOFFMAN O.D.
Optometrist
905 PARK AVE, SUITE 100
ORANGE PARK, FL 32073
Clay County (904) 264-1206

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 Karen Hoffman's NPI number?

The NPI number for Karen Hoffman is 1558463588. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Karen Hoffman located?

Karen Hoffman practices at 905 Park Ave Suite 100, Orange Park, FL 32073. The listed phone number is (904) 264-1206.

What is Karen Hoffman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Karen Hoffman enrolled in Medicare?

Yes. Karen 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 Karen Hoffman accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Karen 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 Karen Hoffman was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.