DR. JAMES HOFFMAN D.O.
NPI 1700174950
Emergency Medicine in Wilmington, NC

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment
92.04/100
CMS Quality Rating
2131 S 17TH ST, WILMINGTON, NC 28401(910) 667-7000 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Hoffman D.o. NPPES

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

DR. JAMES HOFFMAN D.O. (NPI 1700174950) is an individual emergency medicine provider in Wilmington, North Carolina, licensed in North Carolina (2014-00565) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2011).

NPPES Registry Identity

NPI1700174950
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES HOFFMANCredential: D.O.
Location Address2131 S 17TH STWilmington, NC 28401-7407
Mailing Address4402 Shipyard BlvdWilmington, NC 28403-6161 · (910) 202-3363
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2011
Enumeration DateJuly 20, 2011
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1700174950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NC · 2014-00565✔ Licensed in PA · 014197
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.
2131 S 17TH ST, Wilmington, NC 28401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Hoffman 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 ID6507081668
PECOS Enrollment IDI20140702002603
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.

Medicare Billing Reassignments

4

Medicare enrollment records show James Hoffman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Emergency Medicine
2131 S 17TH ST
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 75 clinicians in this Medicare group
Internal Medicine
1513 N HOWE ST, STE 6
Southport, NC 28461
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1538260229 (North Carolina)
  • 68 clinicians in this Medicare group
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340013
Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County
Emergency services Birthing friendly

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

92.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.83
Improvement Activities40
Cost100

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.

Rehabilitation Hospital
2131 S 17TH ST
WILMINGTON, NC 28401
Nurse Practitioner (Neonatal, Critical Care)
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Family Medicine
2131 S 17TH ST
WILMINGTON, NC 28401
Registered Nurse (Critical Care Medicine)
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Nurse Practitioner
2131 S 17TH ST
WILMINGTON, NC 28401

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 James Hoffman's NPI number?

The NPI number for James Hoffman is 1700174950. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is James Hoffman located?

James Hoffman practices at 2131 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 667-7000.

What is James Hoffman's specialty?

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

Is James Hoffman enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Hoffman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hoffman reassigns Medicare benefits to 4 organizations: Ecep II PA (Wilmington, NC), J. Arthur Dosher Memorial Hospital (Southport, NC), Vidant Medical Group LLC (Kinston, NC) and Emergency Coverage, LLC (Newport, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Hoffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hoffman accept?

Health plans from Cigna Healthcare list James 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 James Hoffman affiliated with any hospitals?

According to CMS data, James Hoffman is affiliated with Rutherford Regional Medical Center and J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Hoffman was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.