GLEN HOFFMAN – Physician Assistant, NPI 1902362320

GLEN HOFFMAN is a healthcare provider. based in Poland, Ohio. specializing in PHYSICIAN ASSISTANT. The NPI Number for GLEN HOFFMAN is 1902362320

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
GLEN HOFFMAN
NPI
1902362320
Phone
Not provided
Address
1600 WALKER MILL RD
Enumeration Date
11 February 2019
Last Update Date
14 February 2023

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3309924100
Graduation Year
2022 (4 years ago)
PAC ID
6901271949
Group Practice PAC ID
5799016358
Professional Enrollment ID
I20230405001751
Address ID
OH445151757AU4990XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:7State licenses:0Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for GLEN HOFFMAN

  • 1600 WALKER MILL RD

    POLAND, OH 445143638

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $329.

Total Amount is formed as General ($329) + Research ($0) + Ownership ($0) = $329.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Mid-Atlantic Surgical Systems, LLC ($298).

Total Amount

$329

General + Research + Ownership

Payments

7

Total payment records

General Amount

$329

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2023-04-05

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
I20230405001751IPhysician AssistantOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5955$0
View full utilization report →

Insurance plans in this area (ZIP 44514)

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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: 5799016358View full group profile
NameSpecialtyState
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantPA
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I cross-check GLEN HOFFMAN using NPI 1902362320?
NPI 1902362320 belongs to GLEN HOFFMAN; compare other details if you need extra assurance.
Is GLEN HOFFMAN still an active registrant?
GLEN HOFFMAN carries an active NPI according to the public dataset.
What expertise is attributed to GLEN HOFFMAN?
GLEN HOFFMAN's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is GLEN HOFFMAN located near Poland?
GLEN HOFFMAN currently maps to Poland, Ohio in this extract.
When was this NPI issued?
Enumeration for GLEN HOFFMAN is noted as February 11, 2019 where the registry provides it.

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