DR. MICHAEL RANDALL HOFFMAN (PH.D.) – Clinical Psychologist, NPI 1578919973

DR. MICHAEL RANDALL HOFFMAN (PH.D.) is a healthcare provider. based in Palm coast, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PPY203 (FL). The NPI Number for DR. MICHAEL RANDALL HOFFMAN (PH.D.) is 1578919973

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL RANDALL HOFFMAN (PH.D.)
NPI
1578919973
Phone
(386) 864-4394
Address
10 WHITE DOVE LN
Enumeration Date
4 May 2016
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8885153834
Graduation Year
2014 (12 years ago)
PAC ID
8426100199
Group Practice PAC ID
5698185775
Professional Enrollment ID
I20170426002714
Address ID
FL333092180FT6750XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for DR. MICHAEL RANDALL HOFFMAN (PH.D.)

  • 10, White Dove Lane, Palm Coast, Flagler County, Florida, 32164, United States

    PALM COAST, FL 321647247

    Phone: (386) 864-4394

    Fax: (888) 946-6584

    Type: Mailing

  • 6000 W HIGHWAY 98

    PENSACOLA, FL 325120003

    Phone: (405) 550-9631

    Fax: (888) 946-6584

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170426002714IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes522261$0
90791Psychiatric diagnostic evaluation503503$0
96116Exam of neurobehavioral status, first hour4340$0
90834Psychotherapy, 45 minutes2920$0
View full utilization report →

Insurance plans in this area (ZIP 32164)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698185775View full group profile
NameSpecialtyState
Psychiatry, Geriatric PsychiatryFL
Clinical Social WorkerNY
Nurse PractitionerFL
Mental Health CounselorFL
Nurse PractitionerTX
Clinical PsychologistCA
Clinical PsychologistFL
Mental Health CounselorFL
Mental Health CounselorFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

Does DR. MICHAEL RANDALL HOFFMAN (PH.D.) have a public NPI I can cite?
Public records show DR. MICHAEL RANDALL HOFFMAN (PH.D.) under NPI 1578919973.
Does the public listing show DR. MICHAEL RANDALL HOFFMAN (PH.D.) as active?
DR. MICHAEL RANDALL HOFFMAN (PH.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. MICHAEL RANDALL HOFFMAN (PH.D.) does?
Insurance directories may phrase it differently, but here DR. MICHAEL RANDALL HOFFMAN (PH.D.) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MICHAEL RANDALL HOFFMAN (PH.D.)?
The directory associates DR. MICHAEL RANDALL HOFFMAN (PH.D.) with Palm Coast, Florida. Check all listed addresses for suites or satellite offices.
Who maintains DR. MICHAEL RANDALL HOFFMAN (PH.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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