1. Home
  2. Directory
  3. Tennessee
  4. Gallatin
  5. Internal Medicine
  6. NPI Profile

DR. MARC E HOFMANN M.D.
NPI 1861498313
Internal Medicine - Pulmonary Disease in Gallatin, TN

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
45.44/100
CMS Quality Rating
300 STEAM PLANT RD STE 100A, GALLATIN, TN 37066(615) 328-4720(615) 328-6973 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2025, Feb 1, 2021, Sep 8, 2020 and 4 more (7 updates tracked since 2018).

About Dr. Marc E Hofmann M.d. NPPES

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

DR. MARC E HOFMANN M.D. (NPI 1861498313) is an individual pulmonary disease provider in Gallatin, Tennessee, licensed in Tennessee (MD31140) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1861498313
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MARC E HOFMANNCredential: M.D.
Location Address300 STEAM PLANT RD STE 100AGallatin, TN 37066-3056
Mailing AddressPo Box 38189Germantown, TN 38183-0189 · (901) 842-1392 · Fax (901) 842-1393
Phone(615) 328-4720
Fax(615) 328-6973
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 21, 2005
Last NPPES UpdateAugust 12, 20257 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1861498313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TN · MD31140
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 Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD31140 (TN)
300 STEAM PLANT RD STE 100A, Gallatin, TN 37066
Open in Google Maps ↗

Other Identifiers 3

Medicaid3841622TN
Medicaid00121890MS
Medicaid139957001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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

Dr. Marc E Hofmann 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 ID4385653419
PECOS Enrollment IDI20100223000589
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.

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.
629 services504 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.
73 services73 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
61 services61 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
44 services38 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
25 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

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 37066 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.

45.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality50.73
Improvement Activities0
Cost83.84

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%307 patients
Breast Cancer Screening
0%588 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%521 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%1,535 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
92%2,863 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%896 patients1/55-star benchmark: 100%
HIV Screening
0%1,325 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
8%2,156 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,163 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%2,817 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 935 patients
0%935 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers715 claims715 services$31.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers429 claims429 services$71.63 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers419 claims984 services$30.05 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers388 claims1,728 services$16.19 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
17 suppliers139 claims689 services$12.88 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
22 suppliers487 claims487 services$46.83 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

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

BROOKE N COUNCE FNP-C
Nurse Practitioner (Family)
300 STEAM PLANT RD STE 100A
GALLATIN, TN 37066
Sumner County (615) 328-4720

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 Marc Hofmann's NPI number?

The NPI number for Marc Hofmann is 1861498313. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Marc Hofmann located?

Marc Hofmann practices at 300 Steam Plant Rd Ste 100A, Gallatin, TN 37066. The listed phone number is (615) 328-4720.

What is Marc Hofmann's specialty?

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

Is Marc Hofmann enrolled in Medicare?

Yes. Marc Hofmann 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 Marc Hofmann accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 6 other insurers list Marc Hofmann 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 Marc Hofmann affiliated with any hospitals?

According to CMS data, Marc Hofmann is affiliated with Sumner Regional Medical Center and Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Hofmann was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.