PAUL JOSEPH HOFFMAN M.D.
NPI 1821265828
Internal Medicine - Pulmonary Disease in Sacramento, CA

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
3000 Q ST FL 2, SACRAMENTO, CA 95816(916) 733-3323(916) 733-5383 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Joseph Hoffman M.d. NPPES

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

PAUL JOSEPH HOFFMAN M.D. (NPI 1821265828) is an individual pulmonary disease provider in Sacramento, California, licensed in California (A111644) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2011).

NPPES Registry Identity

NPI1821265828
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePAUL JOSEPH HOFFMANCredential: M.D.
Location Address3000 Q ST FL 2Sacramento, CA 95816-7058
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(916) 733-5383
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2011
Enumeration DateMay 9, 2008
Last NPPES UpdateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
NPI 1821265828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A111644
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A111644 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A111644 (CA)
3000 Q ST FL 2, Sacramento, CA 95816

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

Paul Joseph Hoffman M.d. 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 ID6507189313
PECOS Enrollment IDI20150102000002
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
146 services65 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
43 services43 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
42 services42 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
41 services41 patients
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.
34 services29 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.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers15 claims90 services$1.40 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.

Internal Medicine (Gastroenterology)
3000 Q ST FL 2
SACRAMENTO, CA 95816
Physician Assistant
3000 Q ST FL 2
SACRAMENTO, CA 95816
Pediatrics
3000 Q ST FL 2
SACRAMENTO, CA 95816
Nurse Practitioner (Gerontology)
3000 Q ST FL 2
SACRAMENTO, CA 95816
Family Medicine
3000 Q ST FL 2
SACRAMENTO, CA 95816
Internal Medicine (Critical Care Medicine)
3000 Q ST FL 2
SACRAMENTO, CA 95816
Nurse Practitioner (Primary Care)
3000 Q ST FL 2
SACRAMENTO, CA 95816
Nurse Practitioner (Family)
3000 Q ST FL 2
SACRAMENTO, CA 95816

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 Paul Hoffman's NPI number?

The NPI number for Paul Hoffman is 1821265828. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Paul Hoffman located?

Paul Hoffman practices at 3000 Q St Fl 2, Sacramento, CA 95816. The listed phone number is (916) 733-3323.

What is Paul Hoffman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Paul Hoffman enrolled in Medicare?

Yes. Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Hoffman was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.