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KELLY HOFFMANN M.D.
NPI 1871584664
Family Medicine in Bellingham, WA

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
4545 CORDATA PKWY, BELLINGHAM, WA 98226(360) 738-2200(360) 752-5686 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Hoffmann M.d. NPPES

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

KELLY HOFFMANN M.D. (NPI 1871584664) is an individual family medicine provider in Bellingham, Washington, licensed in Washington (MD00045128) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of University Of Minnesota Medical School (1998).

NPPES Registry Identity

NPI1871584664
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY HOFFMANNCredential: M.D.
Location Address4545 CORDATA PKWYBellingham, WA 98226-7123
Mailing AddressPo Box 5096Bellingham, WA 98227-5096 · (360) 738-2200 · Fax (360) 752-5686
Phone(360) 738-2200
Fax(360) 752-5686
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1998
Enumeration DateNovember 2, 2005
Last NPPES UpdateSeptember 30, 2010
✔ NPI 1871584664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00045128
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4545 CORDATA PKWY, Bellingham, WA 98226
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Other Identifiers 6

Medicare UPINH49613WA
Medicaid1871584664WA
Medicare PING8872987WA
Other0230047WA · L&i And Crime Victims
Other77369669WA · Aetna
Other6928HOWA · Regence

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Kelly Hoffmann 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 ID7517998347
PECOS Enrollment IDI20050822001119
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 5

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.
130 services82 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 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.
33 services29 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.
27 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services12 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98226 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$88.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier15 claims15 services$185.43 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.

MELANIE R HARTLEY ARNP
Nurse Practitioner (Pediatrics, Critical Care)
4545 CORDATA PKWY, SUITE 1E
BELLINGHAM, WA 98226
Whatcom County (360) 738-2200
LESLIE HOUCK M.D.
Obstetrics & Gynecology (Gynecology)
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 738-2200
MADRONA MEDICAL GROUP,PS
Clinic/Center (Radiology)
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 738-2200
JOAN MARY CERVISI ARNP
Nurse Practitioner (Pediatrics)
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 738-2200
DR. SUKHJIT SINGH SHERGILL
Internal Medicine
4545 CORDATA PKWY, SUITE 2B
BELLINGHAM, WA 98226
Whatcom County (360) 738-2200
DIANA GUZA-WELLS M.D.
Internal Medicine
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 738-2200
RADU IVAN ARNP
Nurse Practitioner (Adult Health)
4545 CORDATA PKWY, SUITE 2A & 2B
BELLINGHAM, WA 98226
Whatcom County (360) 738-2200
DIANNE C. FOSTER ARNP
Nurse Practitioner (Obstetrics & Gynecology)
4545 CORDATA PKWY
BELLINGHAM, WA 98226
Whatcom County (360) 738-2200

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 Kelly Hoffmann's NPI number?

The NPI number for Kelly Hoffmann is 1871584664. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Kelly Hoffmann located?

Kelly Hoffmann practices at 4545 Cordata Pkwy, Bellingham, WA 98226. The listed phone number is (360) 738-2200.

What is Kelly Hoffmann's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Hoffmann enrolled in Medicare?

Yes. Kelly Hoffmann 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 Kelly Hoffmann accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kelly Hoffmann 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 Kelly Hoffmann affiliated with any hospitals?

According to CMS data, Kelly Hoffmann is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Hoffmann was last updated on September 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.