WHITNEY HOFFMANN DO
NPI 1730539206
Internal Medicine in Waukesha, WI
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 and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Whitney Hoffmann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waukesha, WI 53186
- Reassigned Medicare billing, Wisconsin enrollment
- 191 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 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.
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.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUKESHA, WI 53188
WAUKESHA, WI 53188
WAUKESHA, WI 53188
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.
Which organization bills Medicare for Whitney Hoffmann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Hoffmann reassigns Medicare benefits to Oak Medical Sc (Waukesha, WI). The 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 Whitney Hoffmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Whitney Hoffmann accept?
Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare 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.
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 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.
# Whitney Hoffmann, DO · NPI 1730539206
Internal Medicine physician in Waukesha, Wisconsin. Individual provider, active in the CMS NPPES registry since June 15, 2016.
## Identity
- **NPI:** 1730539206 (Entity type: Individual)
- **Enumerated:** June 15, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 77448-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2428 N GRANDVIEW BLVD STE 102, Waukesha, WI 53188-6906
- **Phone:** (262) 875-4521
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Oak Medical Sc (NPI 1669910345, Waukesha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730539206) · Data from the CMS NPPES public registry.