NPIMap

Individual provider Active NPI

Scott D. Hoffman, D.O.

  • Family Medicine Physician
  • Indianola, IA
National Provider Identifier
1568464220
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3461 Issued in IA
Practice address
307 E Scenic Valley Ave
Indianola, IA 50125-4865
Phone
(515) 961-8448
Fax
(515) 643-9100
NPI assigned
Aug 12, 2005
Last updated
Oct 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3461 IA Primary

Addresses

Primary practice location

307 E Scenic Valley Ave
Indianola, IA 50125-4865

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 961-8448

Other identifiers 3

IdentifierTypeStateIssuer
I12296OtherIAWELLMARK
4242842MedicaidIA
5242842MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000517 IA Practitioner - Family PracticePractitioner - Emergency Medicine 8022099498 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
69.74
Promoting interoperability
83
Improvement activities
40
Cost
69.88

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3461IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Hospital CurrentSince Aug 1, 2021 Accepting new patients
Montgomery County Memorial Hospital CurrentSince May 1, 2023 Accepting new patients
Montgomery County Memorial Hospital Current Accepting new patients
Montgomery County Memorial Hospital CurrentSince May 1, 2023 Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
Franklin General Hospital Current Accepting new patients
St Anthony Regional Hospital and Nursing Home Family Medicine CurrentSince Jul 8, 2021 Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince Jul 8, 2021 Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients
Mercy Medical Center North Iowa Past Accepting new patients
Crawford County Memorial Hospital Family Medicine Past Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1568464220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-961-8448",
            "fax_number": "515-643-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E SCENIC VALLEY AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501254865",
            "telephone_number": "515-961-8448",
            "fax_number": "515-643-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "SCOTT",
        "middle_name": "D.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "I12296",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4242842",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5242842",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

Verify at the official NPI Registry.