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ROBERT D HOFFMAN II MD
NPI 1740214154
Pathology - Anatomic Pathology in Nashville, TN

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1161 21ST AVE S, DEPT. PATHOLOGY MCN C3307, NASHVILLE, TN 37232(615) 322-5769(615) 343-7023 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert D Hoffman Ii Md NPPES

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

ROBERT D HOFFMAN II MD (NPI 1740214154) is an individual anatomic pathology provider in Nashville, Tennessee, licensed in Tennessee (MD0000044516) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (1984).

NPPES Registry Identity

NPI1740214154
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameROBERT D HOFFMAN IICredential: MD
Location Address1161 21ST AVE S, DEPT. PATHOLOGY MCN C3307Nashville, TN 37232-2561
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(615) 322-5769
Fax(615) 343-7023
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1984
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1740214154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
Licenses✔ Licensed in TN · MD0000044516✔ Licensed in OH · 35-064195
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1161 21ST AVE S, Nashville, TN 37232
Open in Google Maps ↗

Other Identifiers 11

Medicaid0127713OH
Other745376OH · Buckeye
Other00000030356OH · Anthem
Other0127464OH · Bcmh
Other0653678OH · Aetna
Other220015823OH · Railroad Medicare
OtherP00412345OH · Railroad Medicare
Other1100390OH · Uhc
Other363640OH · Wellcare
Other000000224279OH · Unison
Other000000528678OH · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.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

Robert D Hoffman Ii 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 ID6507959343
PECOS Enrollment IDI20090522000478
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 8

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.

Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
222 services101 patients
Antibody evaluation, initial single antibody stain procedure 88346
An antibody evaluation, initial single antibody stain procedure is a laboratory test. It's designed to identify specific proteins, or antibodies, in your body. This can help diagnose certain conditions or monitor your immune system's response to treatments. The procedure involves staining a single type of antibody for detection.
191 services92 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
103 services88 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
22 services17 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
17 services16 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

HOLLY VICTORIA CANNON FNP-C
Nurse Practitioner (Family)
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 936-0060
DR. EVAN ZEHR MD
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 322-6943
DR. MEREDITH ANTONETTE MONSOUR MD
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 322-6638
DR. PRIYA CORYN VERBIK MD
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 343-4882
DAVID M ARONOFF MD
Internal Medicine (Infectious Disease)
1161 21ST AVE S, A-2200 MEDICAL CENTER NORTH
NASHVILLE, TN 37232
Davidson County (615) 322-8972
DR. CARI L MOTUZAS M.D.
Radiology (Neuroradiology)
1161 21ST AVE S, CCC-1121 MED CTR N, DEPARTMENT OF RADIOLOGY
NASHVILLE, TN 37232
Davidson County (615) 322-3780
JENNIFER LYNN REEVES AG-ACNP
Psychiatry & Neurology (Neurocritical Care)
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 343-4665
HEBAH AL KHATEEB MD
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 343-4882

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 Robert Hoffman's NPI number?

The NPI number for Robert Hoffman is 1740214154. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Robert Hoffman located?

Robert Hoffman practices at 1161 21st Ave S Dept. Pathology Mcn C3307, Nashville, TN 37232. The listed phone number is (615) 322-5769.

What is Robert Hoffman's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Robert Hoffman enrolled in Medicare?

Yes. Robert 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 Robert Hoffman accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Robert 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 Robert Hoffman affiliated with any hospitals?

According to CMS data, Robert Hoffman is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Hoffman was last updated on March 16, 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.