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MARK H HOFBAUER DPM
NPI 1841280682
Podiatrist in Belle Vernon, PA

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
800 PLAZA DR, STE 240, BELLE VERNON, PA 15012(724) 379-5816(724) 379-5874 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark H Hofbauer Dpm NPPES

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

MARK H HOFBAUER DPM (NPI 1841280682) is an individual podiatrist in Belle Vernon, Pennsylvania, licensed in Pennsylvania (SC003376L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1841280682
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMARK H HOFBAUERCredential: DPM
Location Address800 PLAZA DR, STE 240Belle Vernon, PA 15012-4019
Mailing Address800 Plaza Dr, Ste 240Belle Vernon, PA 15012-4019 · (724) 379-5816 · Fax (724) 379-5874
Phone(724) 379-5816
Fax(724) 379-5874
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 24, 2005
Last NPPES UpdateSeptember 25, 2013
✔ NPI 1841280682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in PA · SC003376L
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
800 PLAZA DR, Belle Vernon, PA 15012
Open in Google Maps ↗

Other Identifiers 5

Other340715PA · Bc/bs
Medicaid0012857650007PA
Medicare PIN613486V1XPA
Medicare UPINU0229PA
Other102272PA · Upmc

Accepted Insurance

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

Mark H Hofbauer Dpm 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 ID840222907
PECOS Enrollment IDI20210830000375
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.

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.
80 services50 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 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.
30 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15012 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier11 claims13 services$68.44 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier17 claims17 services$221.54 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.

LYNDA NESTER R.N.
Registered Nurse (Administrator)
800 PLAZA DR, SUITE 270
BELLE VERNON, PA 15012
Fayette County (724) 344-1226
MARY BETH FLAUGH PT
Physical Therapist
800 PLAZA DR, WILLOWPOINT PLAZA SUITE 110
BELLE VERNON, PA 15012
Fayette County (724) 379-7130
MS. JULIA CONSTANTINE PA-C
Physician Assistant
800 PLAZA DR, SUITE 240
BELLE VERNON, PA 15012
Fayette County (724) 379-5816
DR. RICHARD JOSEPH MITCHELL MD
Orthopaedic Surgery (Sports Medicine)
800 PLAZA DR, SUITE 240
BELLE VERNON, PA 15012
Fayette County (724) 379-5860
MONVALE ORTHOPEDICS, INC.
Orthopaedic Surgery
800 PLAZA DR, STE 400
BELLE VERNON, PA 15012
Fayette County (724) 379-5802
EMILY DELEO
Physical Therapist
800 PLAZA DR, STE 240
BELLE VERNON, PA 15012
Fayette County (724) 379-5816
SEAN MORGAN PA-C
Physician Assistant (Medical)
800 PLAZA DR, SUITE 140
BELLE VERNON, PA 15012
Fayette County (724) 379-5802
DAWN R MCCRACKEN M.D.
Pediatrics
800 PLAZA DR, SUITE 280
BELLE VERNON, PA 15012
Fayette County (724) 379-6337

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 Mark Hofbauer's NPI number?

The NPI number for Mark Hofbauer is 1841280682. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Mark Hofbauer located?

Mark Hofbauer practices at 800 Plaza Dr Ste 240, Belle Vernon, PA 15012. The listed phone number is (724) 379-5816.

What is Mark Hofbauer's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Mark Hofbauer enrolled in Medicare?

Yes. Mark Hofbauer 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 Mark Hofbauer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Mark Hofbauer 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 Mark Hofbauer affiliated with any hospitals?

According to CMS data, Mark Hofbauer is affiliated with Reynolds Memorial Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Mark Hofbauer was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.