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DANIEL J HOFFMAN MD
NPI 1669464376
Emergency Medicine in Sylvania, OH

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
4605 FRAMINGHAM DR, SYLVANIA, OH 43560(419) 376-4318 Get Directions Write a Review

NPPES record last updated: August 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel J Hoffman Md NPPES

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

DANIEL J HOFFMAN MD (NPI 1669464376) is an individual emergency medicine provider in Sylvania, Ohio, licensed in Ohio (35064567) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1991).

NPPES Registry Identity

NPI1669464376
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDANIEL J HOFFMANCredential: MD
Location Address4605 FRAMINGHAM DRSylvania, OH 43560-3332
Mailing Address4605 Framingham DrSylvania, OH 43560-3332 · (419) 376-4318
Phone(419) 376-4318
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1991
Enumeration DateAugust 18, 2005
Last NPPES UpdateAugust 6, 2023
NPPES CertifiedAugust 6, 2023
✔ NPI 1669464376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35064567
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 35064567 (OH)
4605 FRAMINGHAM DR, Sylvania, OH 43560
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Other Identifiers 1

Medicaid0101884OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, Oscar Health Insurance 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

Daniel J 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 ID5799689857
PECOS Enrollment IDI20031121000069
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services37 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

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 Daniel Hoffman's NPI number?

The NPI number for Daniel Hoffman is 1669464376. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Daniel Hoffman located?

Daniel Hoffman practices at 4605 Framingham Dr, Sylvania, OH 43560. The listed phone number is (419) 376-4318.

What is Daniel Hoffman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Daniel Hoffman enrolled in Medicare?

Yes. Daniel 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 Daniel Hoffman accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Daniel 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 Daniel Hoffman was last updated on August 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.