DR. KAREN KAYE HOFFMANN M.D.
NPI 1629072426
Otolaryngology in Atlanta, GA

Q: What is Karen Hoffmann's NPI number?

The NPI number for Karen Hoffmann is 1629072426. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Karen Hoffmann's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Hoffmann was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1720 PEACHTREE ST NW, SUITE 200, ATLANTA, GA 30309(404) 351-5045(404) 897-7078 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Karen Kaye Hoffmann M.d. NPPES

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

DR. KAREN KAYE HOFFMANN M.D. (NPI 1629072426) is an individual otolaryngology provider in Atlanta, Georgia, licensed in Georgia (58871) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of University Of Texas Medical School At Houston (1997).

NPPES Registry Identity

NPI1629072426

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameDR. KAREN KAYE HOFFMANNCredential: M.D.

Location Address1720 PEACHTREE ST NW, SUITE 200Atlanta, GA 30309-2449

Mailing Address1720 Peachtree St Nw, Suite 200Atlanta, GA 30309-2449 · (404) 351-5045 · Fax (404) 897-7078

Phone(404) 351-5045

Fax(404) 897-7078

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1997

Enumeration DateJune 9, 2005

Last NPPES UpdateFebruary 2, 2012

✔ NPI 1629072426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in GA · 58871

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 58871 (GA)

Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License 58871 (GA)

1720 PEACHTREE ST NW, Atlanta, GA 30309

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Other Identifiers 2

Medicare UPINH66047

Medicare ID-Type UnspecifiedGRP861GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Dr. Karen Kaye Hoffmann 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 ID2163479411

PECOS Enrollment IDI20070430000233

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 15

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

370 services11 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

363 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

270 services184 patients

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.

244 services189 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

166 services145 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

153 services139 patients

Exam of the nose and throat using an endoscope 92511

An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.

134 services118 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

98 services76 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

80 services80 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

44 services44 patients

Simple removal of skin debris and drainage of mastoid cavity 69220

This procedure involves clearing out skin debris and draining fluid from the mastoid cavity, an air-filled space in the skull behind the ear. It's done to relieve discomfort, improve hearing, and prevent complications related to ear infections or other conditions.

38 services22 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

35 services34 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

33 services32 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

24 services14 patients

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433

This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

100%465 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

JUN H KIM PA-C

Physician Assistant

1720 PEACHTREE ST NW, SUITE 200
ATLANTA, GA 30309

Fulton County (404) 351-5045

HAYLEY ROUSSEAU TURNER NP

Nurse Practitioner

1720 PEACHTREE ST NW
ATLANTA, GA 30309

Fulton County (404) 351-5045

MRS. HALEY WILENSKY PT, MPT

Physical Therapist

1720 PEACHTREE ST NW, SUITE 422
ATLANTA, GA 30309

Fulton County (404) 733-1936

DR. KINGSLEY N CHIN MD

Otolaryngology

1720 PEACHTREE ST NW, SUITE 200
ATLANTA, GA 30309

Fulton County (404) 351-5045

MARK NILSON

Physical Therapist

1720 PEACHTREE ST NW, SUIT 422
ATLANTA, GA 30309

Fulton County (404) 733-1936

DR. JENNIFER S. KOCZOR AU.D.

Audiologist

1720 PEACHTREE ST NW, SUITE 200
ATLANTA, GA 30309

Fulton County (404) 351-5045

PIEDMONT SPECIALTIES SLEEP CENTER, LLC

Clinic/Center (Sleep Disorder Diagnostic)

1720 PEACHTREE ST NW, SUITE 140
ATLANTA, GA 30309

Fulton County (404) 446-0480

NOURISIAN MEDICAL CORPORATION

Durable Medical Equipment & Medical Supplies

1720 PEACHTREE ST NW
ATLANTA, GA 30309

Fulton County (800) 761-0809

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 Hoffmann's NPI number?

The NPI number for Karen Hoffmann is 1629072426. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Karen Hoffmann located?

Karen Hoffmann practices at 1720 Peachtree St NW Suite 200, Atlanta, GA 30309. The listed phone number is (404) 351-5045.

What is Karen Hoffmann's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Karen Hoffmann enrolled in Medicare?

Yes. Karen Hoffmann 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 Hoffmann accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Karen Hoffmann 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 Karen Hoffmann affiliated with any hospitals?

According to CMS data, Karen Hoffmann is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Karen Hoffmann was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.