MR. JACOB KEITH HOFFMANN (PA-C) – Physician Assistant, NPI 1811487622
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for MR. JACOB KEITH HOFFMANN (PA-C)
3000 East, Cottonwood Heights, Salt Lake County, Utah, 84121, United States
COTTONWOOD HEIGHTS, UT 841213555
Phone: (801) 733-9924
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 176 Open Payments records for all available years, with a total value of $6,964.
Total Amount is formed as General ($6,964) + Research ($0) + Ownership ($0) = $6,964.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($2,283).
Total Amount
$6,964
General + Research + Ownership
Payments
176
Total payment records
General Amount
$6,964
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,283 |
| Boston Scientific Corporation | $1,589 |
| Relievant Medsystems, Inc. | $1,498 |
| Saluda Medical Americas, Inc. | $338 |
| ABBVIE INC. | $166 |
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: 2018-08-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180816002386 | I | Physician Assistant | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 298 | 130 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 63 | 63 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 18 | 13 | $0 |
Insurance plans in this area (ZIP 84121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Pain Management | UT | |
| Nurse Practitioner | UT | |
| Pain Management, Anesthesiology | TX | |
| Anesthesiology, Pain Management | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT |
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