MARY R HOFFMAN (MD) – Family Medicine Physician, NPI 1316984057

MARY R HOFFMAN (MD) is a healthcare provider. based in Alton, Illinois. specializing in FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 036110636 (IL). The NPI Number for MARY R HOFFMAN (MD) is 1316984057

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MARY R HOFFMAN (MD)
NPI
1316984057
Phone
(618) 463-7240
Address
1 Memorial Dr
Enumeration Date
1 June 2006
Last Update Date
4 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182719191
Graduation Year
2001 (25 years ago)
PAC ID
1850357526
Group Practice PAC ID
1456256874
Professional Enrollment ID
I20061116000374
Address ID
IL622051803EA2001XSTXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
maryhoffman@siusm.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for MARY R HOFFMAN (MD)

  • 1 Memorial Dr

    Alton, IL 620026722

    Phone: (618) 463-7240

    Type: Location

  • 2 Memorial Dr Ste 220

    Alton, IL 620026723

    Phone: (618) 433-7901

    Type: Location

  • 520, North 4th Street, Springfield, Sangamon County, Illinois, 62702, United States

    PO BOX 19670

    SPRINGFIELD, IL 627025238

    Phone: (217) 545-8000

    Fax: (217) 747-1351

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-11-16

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
I20061116000374IFamily PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62002)

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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: 1456256874View full group profile
NameSpecialtyState
-IL
-IL
Family PracticeID
Mental Health CounselorIL
-IL
Family PracticeIL
Nurse PractitionerIL
-IL
Family Practice, Emergency MedicineIL
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Can I verify MARY R HOFFMAN (MD) with an NPI only?
You can start verification with NPI 1316984057 for MARY R HOFFMAN (MD), then check state licensing separately.
Is MARY R HOFFMAN (MD) still practicing?
MARY R HOFFMAN (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes MARY R HOFFMAN (MD)?
For research purposes, treat MARY R HOFFMAN (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MARY R HOFFMAN (MD) list a practice location?
Patients near Alton, Illinois may find MARY R HOFFMAN (MD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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