1. Home
  2. Directory
  3. Pennsylvania
  4. Kingston
  5. Physician Assistant
  6. NPI Profile

DENISE HOFFMAN PA-C
NPI 1821458217
Physician Assistant in Kingston, PA

Active since February 29, 2016PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
423 3RD AVE, SUITE B, KINGSTON, PA 18704(570) 288-3601(570) 288-1726 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2021, Feb 29, 2016 (2 updates tracked since 2016).

About Denise Hoffman Pa-c NPPES

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

DENISE HOFFMAN PA-C (NPI 1821458217) is an individual physician assistant in Kingston, Pennsylvania, licensed in Pennsylvania (MA001706L) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1821458217
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDENISE HOFFMANCredential: PA-C
Location Address423 3RD AVE, SUITE BKingston, PA 18704-5809
Mailing Address610 Wyoming AveKingston, PA 18704-3702 · (570) 288-5441 · Fax (570) 288-5842
Phone(570) 288-3601
Fax(570) 288-1726
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateFebruary 29, 2016
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1821458217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA001706L
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
423 3RD AVE, Kingston, PA 18704
Open in Google Maps ↗

Other Identifiers 1

Medicaid1031927100001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Denise Hoffman Pa-c 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 ID2264739317
PECOS Enrollment IDI20160405000555
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 9

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.

Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
1,204 services780 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
760 services571 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
435 services300 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
214 services31 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
204 services157 patients
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402
This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.
57 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

RIVERVIEW UROLOGIC ASSOCIATES
Specialist
423 3RD AVE, SUITE B
KINGSTON, PA 18704
Luzerne County (570) 288-3601
NORTHEAST EYE SPECIALISTS, PC
Durable Medical Equipment & Medical Supplies
423 3RD AVE, SUITE E
KINGSTON, PA 18704
Luzerne County (570) 288-1974
MICHELLE DAVENPORT CRNA
Nurse Anesthetist, Certified Registered
423 3RD AVE
KINGSTON, PA 18704
Luzerne County (570) 331-0880
DR. LOUIS JOSEPH MARIOTTI D. O.
Otolaryngology (Otolaryngic Allergy)
423 3RD AVE, SUITE C
KINGSTON, PA 18704
Luzerne County (570) 714-3434
LEONARD F ROMANOWSKI CRNA
Nurse Anesthetist, Certified Registered
423 3RD AVE
KINGSTON, PA 18704
Luzerne County (570) 331-0880
JAY B TANNER OD
Optometrist
423 3RD AVE, SUITE E
KINGSTON, PA 18704
Luzerne County (570) 288-1974
DR. CRESCENZO GUILIO CALISE M.D.
Specialist
423 3RD AVE, SUITE B
KINGSTON, PA 18704
Luzerne County (570) 288-3601
RIVERVIEW AMBULATORY SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
423 3RD AVE, SUITE D
KINGSTON, PA 18704
Luzerne County (570) 331-2040

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 Denise Hoffman's NPI number?

The NPI number for Denise Hoffman is 1821458217. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Denise Hoffman located?

Denise Hoffman practices at 423 3rd Ave Suite B, Kingston, PA 18704. The listed phone number is (570) 288-3601.

What is Denise Hoffman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Denise Hoffman enrolled in Medicare?

Yes. Denise 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 Denise Hoffman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Denise 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 Denise Hoffman affiliated with any hospitals?

According to CMS data, Denise Hoffman is affiliated with Wilkes-Barre General Hospital and Lehigh Valley Hospital - Hazleton.

When was this NPI record last updated?

The NPPES record for Denise Hoffman was last updated on July 29, 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.