2026 NPPES data Neurology Physician NPI 1396772059 M.D.
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Donald Hoffman, M.D.

Neurology Physician in Kingwood, West Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 19,866 in Neurology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 136 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
92%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.9/100
▼ 1 pts below national avg 83.1 · Above neutral
Industry payments
$652.9
31 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Donald Hoffman, M.D. reported a CMS MIPS final score of 81.9/100 - below the 83.1 national average - and filed 1,687 Medicare Part D claims in 2023.

81.9/100
MIPS score · -1 vs avg
2K
Part D claims, 2023
92%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Donald Hoffman, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

82 36th percentile higher than 36% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Donald Hoffman, M.D. sits

This provider among neurology physician peers

Across the 5,437 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Donald Hoffman, M.D. writes more Part D claims than 64% of them and scores higher on MIPS quality than 45% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 13Donald Hoffman, M.D.-Part D claim volume, percentile in specialty: 64 · MIPS quality, percentile: 45
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one neurology physician peer from a representative sample of 60; the gold marker is Donald Hoffman, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Donald Hoffman, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Donald Hoffman, M.D.?

Near national average

NPI registry status

Active

Issued 06/27/2006

NPI 1396772059

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

1,687 29% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

81.9/100 1.2 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in West Virginia

How Neurology Physician compares to other specialties among West Virginia providers

West Virginia providers
Personal Care Attendant - 38.4%Personal Care Attendant38.4%Home Health Aide - 8.2%Home Health Aide8.2%Community Health Worker - 5.2%Community Health Worker5.2%Homemaker - 3.1%Homemaker3.1%Pharmacist - 3%Pharmacist3%Student in an Organized Health Care Education/Training Program - 2.9%Student in an Organized Health Care Education/Training Program2.9%Neurology Physician - 0.1%Neurology Physician0.1%
Largest specialties in West Virginia (% of in-state providers)

Medicare quality performance, MIPS

Donald Hoffman, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average

Near national average
MIPS Final Score
81.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) - 81.9/100 vs national avg 83.1

0%100%National avg83%81.9%
MIPS final score (Neurology Physician) - 81.9/100 vs national avg 83.1
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Donald Hoffman, M.D. appears in the CMS NPPES registry as a Neurology Physician provider holding M.D. credentials at 300 S. PRICE ST., Kingwood, WV, 26537, with a listed phone of (304) 329-1400. NPI 1396772059 was issued on 06/27/2006.

Medicare Part D records for calendar year 2023 show 1,687 prescription claims written by this provider, covering 136 Medicare beneficiaries and totaling roughly $747K in drug spend, split 7% brand-name and 92% generic by claim count, with an opioid prescribing rate of 15.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.9/100 for the 2023 performance year (Quality 79.6, Cost 60.2), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.

Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

300 S. PRICE ST.
Kingwood, WV 26537

Provider Details

NPI 1396772059
Specialty Neurology Physician
Credentials M.D.
Gender Male
NPI Issued 06/27/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

81.9334
Final Score
Avg: 83.1
79.5772
Quality
60.2009
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Donald Hoffman, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Preston Memorial Hospital Corporation
Kingwood, WV
Tucson Physician Group Holdings LLC
Tucson, AZ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Donald Hoffman, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$653

Largest payer

Teva Pharmaceuticals USA, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

Donald Hoffman, M.D. - brand share 7.0%
Neurology Physician average

7% brand-name claims vs 92% generic, on 1,687 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,687
Total Claims
$747K
Total Drug Cost
136
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,199
Total Day Supply
64,415
Brand vs Generic
7% brand / 92% generic
Brand Drug Cost
$564K
Generic Drug Cost
$181K
Opioid Claims
267 (15.8% rate)

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
1.37
Gender Split
64% female / 36% male
Age Distribution
<65: 43, 65-74: 51, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Donald Hoffman, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
178
Gabapentin
143
Topiramate
106
Tramadol Hcl
68
Carbidopa-Levodopa
Carbidopa/Levodopa
57
Duloxetine Hcl
54
Butalbital-Acetaminophen-Caffe
Butalb/Acetaminophen/Caffeine
47
Primidone
45
Lamotrigine
43
Sumatriptan Succinate
40

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Neurology Physician Overview

How Donald Hoffman, M.D. fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

Donald Hoffman, M.D.'s 1,687 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Hoffman.

Compare Neurology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the West Virginia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Neurology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Donald Hoffman, M.D.'s specialty?
Donald Hoffman, M.D. specializes in Neurology Physician and practices in Kingwood, West Virginia. Credentials: M.D..
How much does Donald Hoffman, M.D. prescribe under Medicare Part D?
In 2023, Donald Hoffman, M.D. wrote 1,687 Medicare Part D claims totaling $747K in drug costs for 136 beneficiaries.
What is Donald Hoffman, M.D.'s Medicare quality score?
Donald Hoffman, M.D. has a CMS MIPS Final Score of 81.9/100 (Quality: 79.6, Cost: 60.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Donald Hoffman, M.D. located?
Donald Hoffman, M.D. is located at 300 S. PRICE ST., Kingwood, WV, 26537. Phone: (304) 329-1400.
What is Donald Hoffman, M.D.'s NPI number?
Donald Hoffman, M.D.'s National Provider Identifier (NPI) is 1396772059, issued on 06/27/2006.
Does Donald Hoffman, M.D. prescribe more brand-name or generic drugs?
Donald Hoffman, M.D.'s prescribing is 7% brand-name and 92% generic drugs by claim count, with $564K in brand drug costs.
Does Donald Hoffman, M.D. prescribe opioids?
Yes, Donald Hoffman, M.D. had 267 opioid claims in 2023 with an opioid prescribing rate of 15.8%.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does Donald Hoffman, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Donald Hoffman, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Topiramate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Donald Hoffman, M.D. accept Medicare?
Donald Hoffman, M.D. appears in CMS Medicare data with 1,687 Part D claims and 136 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Donald Hoffman, M.D.'s credentials?
Donald Hoffman, M.D.'s NPI is 1396772059 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.