WHITNEY HOFFMANN DO
NPI 1730539206
Internal Medicine in Waukesha, WI

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2428 N GRANDVIEW BLVD STE 102, WAUKESHA, WI 53188(262) 875-4521 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2022, Jun 15, 2016 (2 updates tracked since 2016).

About Whitney Hoffmann Do NPPES

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

WHITNEY HOFFMANN DO (NPI 1730539206) is an individual internal medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (77448-21) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730539206
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameWHITNEY HOFFMANNCredential: DO
Location Address2428 N GRANDVIEW BLVD STE 102Waukesha, WI 53188-6906
Mailing Address2428 N Grandview Blvd Ste 102Waukesha, WI 53188-6906 · (262) 875-4521
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 15, 2016
Last NPPES UpdateSeptember 14, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
NPI 1730539206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 77448-21
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2428 N GRANDVIEW BLVD STE 102, Waukesha, WI 53188

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

Whitney Hoffmann Do 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 ID5799070447
PECOS Enrollment IDI20221005001671
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 4

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
220 services67 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
117 services49 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
45 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Nurse Practitioner
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Nurse Practitioner (Family)
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Nurse Practitioner (Family)
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Physical Medicine & Rehabilitation
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Physician Assistant
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Nurse Practitioner (Family)
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188
Nurse Practitioner (Family)
2428 N GRANDVIEW BLVD STE 102
WAUKESHA, WI 53188

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 Whitney Hoffmann's NPI number?

The NPI number for Whitney Hoffmann is 1730539206. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Whitney Hoffmann located?

Whitney Hoffmann practices at 2428 N Grandview Blvd Ste 102, Waukesha, WI 53188. The listed phone number is (262) 875-4521.

What is Whitney Hoffmann's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Whitney Hoffmann enrolled in Medicare?

Yes. Whitney 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 Whitney Hoffmann accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Whitney 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 Whitney Hoffmann affiliated with any hospitals?

According to CMS data, Whitney Hoffmann is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Whitney Hoffmann was last updated on September 14, 2022. 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.