DR. MARCIA HOFFHEIMER D.O.
NPI 1689946451
Hospitalist in Cincinnati, OH

Active since February 08, 2012PECOS EnrolledAccepts Medicare Assignment
3200 BURNET AVE, CINCINNATI, OH 45229(513) 475-8521 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Jan 5, 2024, Sep 19, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Marcia Hoffheimer D.o. NPPES

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

DR. MARCIA HOFFHEIMER D.O. (NPI 1689946451) is an individual hospitalist provider in Cincinnati, Ohio, licensed in Ohio (34.012305) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689946451
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. MARCIA HOFFHEIMERCredential: D.O.
Location Address3200 BURNET AVECincinnati, OH 45229-3019
Mailing AddressPo Box 636256Cincinnati, OH 45263-6526 · (513) 585-6200 · Fax (513) 245-3672
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2011
Enumeration DateFebruary 8, 2012
Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1689946451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in OH · 34.012305 Licensed in OR · DO212205
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 5101019960 (MI)
Also ListedInternal MedicineTaxonomy 207R00000X · License 11415 (SD), 5101019960 (MI), 02005633A (IN), DO212205 (OR), 15437 (ND)
3200 BURNET AVE, Cincinnati, OH 45229

Secondary Practice Locations 2

Location 111885 E 12 Mile Rd, Ste 300AWarren, MI 48093-3474 · Phone (586) 582-6630
Location 22001 W 86th StIndianapolis, IN 46260-1902 · Phone (317) 338-2345

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. Marcia Hoffheimer D.o. 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 ID8729375225
PECOS Enrollment IDI20160927002896
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
124 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
101 services49 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers40 claims40 services$22.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers58 claims58 services$78.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
3200 BURNET AVE
CINCINNATI, OH 45229
Pharmacist (Pharmacotherapy)
3200 BURNET AVE
CINCINNATI, OH 45229
Pharmacist
3200 BURNET AVE
CINCINNATI, OH 45229
Pharmacist
3200 BURNET AVE
CINCINNATI, OH 45229
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3200 BURNET AVE
CINCINNATI, OH 45229
Pharmacist
3200 BURNET AVE
CINCINNATI, OH 45229
Psychiatry & Neurology (Psychiatry)
3200 BURNET AVE, PES- RIDGEWAY
CINCINNATI, OH 45229
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3200 BURNET AVE
CINCINNATI, OH 45229

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 Marcia Hoffheimer's NPI number?

The NPI number for Marcia Hoffheimer is 1689946451. It was assigned to this individual provider in the NPPES registry on February 8, 2012.

Where is Marcia Hoffheimer located?

Marcia Hoffheimer practices at 3200 Burnet Ave, Cincinnati, OH 45229. The listed phone number is (513) 475-8521.

What is Marcia Hoffheimer's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Marcia Hoffheimer enrolled in Medicare?

Yes. Marcia Hoffheimer 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 Marcia Hoffheimer accept?

Health plans from Blue Cross Blue Shield of North Dakota, CareSource, Medica, Molina Healthcare and Oscar Health Insurance list Marcia Hoffheimer 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 Marcia Hoffheimer affiliated with any hospitals?

According to CMS data, Marcia Hoffheimer is affiliated with Chi St Alexius Health and University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Marcia Hoffheimer was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.