Individual provider Active NPI

Eric M. Hofmann, PA-C

  • Physician Assistant
  • Madisonville, KY
National Provider Identifier
1679510564
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA748 Issued in KY
Practice address
1851 N Main St
Madisonville, KY 42431-9007
Phone
(270) 821-0066
Fax
(270) 821-6580
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA748 KY Primary

Addresses

Primary practice location

1851 N Main St
Madisonville, KY 42431-9007

Mailing address

1851 N Main St
Madisonville, KY 42431-9007
Phone (270) 821-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211007001820 GA Practitioner - Physician Assistant 3476505728 Reassigns benefits to 1 organization
I20221118002065 LA Practitioner - Physician Assistant 3476505728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10555GAMDDentist
PA748KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group PC Past Accepting new patients
West Kentucky Dermatology, PSC Physician Assistant Past Accepting new patients
Emergency Physicians Group PSC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1679510564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319007",
            "telephone_number": "270-821-0066",
            "fax_number": "270-821-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319007",
            "telephone_number": "270-821-0066",
            "fax_number": "270-821-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "ERIC",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.