Active NPI 1154396018 Individual Practitioner Female Practitioner

Dr. Karen D Hoffman , DO

Internal Medicine • Milton, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Karen Hoffman, DO is a certified Internal Medicine practicing in Milton, FL. With approximately 30 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1996, Dr. Hoffman delivers high-quality medical care to the local community at 5804 DOGWOOD DR.

Dr. Hoffman is affiliated with Santa Rosa Hma Physician Management, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, injection, denosumab, 1 mg, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5804 Dogwood Dr

Milton, FL 325703576

Telephone 8509834498

Fax 8506234488

Associated Practice Facility / Clinic

🏢 Santa Rosa Hma Physician Management Llc Facility NPI 1619666195

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Milton, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +4.8 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

7 Specialists

Practicing in Milton, FL (10650 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hoffman (30 Years) 30 Yrs

Milton Specialty Average (25.2 Years) 25.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,247	190	$84.00	$61.04
J0897 Injection, denosumab, 1 mg	1,020	17	$39.00	$24.79
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	836	417	$50.00	$16.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	809	414	$260.00	$122.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	504	291	$366.00	$174.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	336	336	$201.00	$125.90
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	326	81	$76.00	$46.57
J2919 Injection, methylprednisolone sodium succinate, 5 mg	261	17	$5.00	$0.29
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	247	34	$83.00	$38.19
G0442 Annual alcohol misuse screening, 5 to 15 minutes	224	224	$38.00	$17.97
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	193	42	$102.00	$47.11
G0444 Annual depression screening, 5 to 15 minutes	171	171	$37.00	$17.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	131	69	$52.00	$13.75
J0696 Injection, ceftriaxone sodium, per 250 mg	84	16	$20.00	$0.45
99213 Established patient office or other outpatient visit, typically 15 minutes	73	64	$184.00	$87.53
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	67	20	$122.00	$43.83
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	62	27	$8.00	$1.28
96160 Administration and interpretation of patient-focused health risk assessment	43	40	$15.00	$2.78
G0008 Administration of influenza virus vaccine	33	33	$45.00	$30.70
90662 Influenza vaccine split virus, preservative free	33	33	$143.94	$77.84
99496 Transitional care management services for problem of high complexity	27	25	$486.00	$261.08
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	26	26	$268.00	$160.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$303.00	$160.62
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes	16	16	$50.00	$18.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$341.00	$163.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$451.00	$216.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$103.00	$51.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,400	245	$84.00	$61.18
J0897 Injection, denosumab, 1 mg	1,260	16	$39.00	$23.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	657	361	$246.38	$124.25
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	372	36	$83.00	$38.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	352	208	$333.50	$175.35
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	239	42	$102.00	$47.04
G0442 Annual alcohol misuse screening, 5 to 15 minutes	219	219	$38.00	$17.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$201.00	$125.73
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	158	158	$130.00	$60.25
G0444 Annual depression screening, 5 to 15 minutes	117	117	$37.00	$17.70
99213 Established patient office or other outpatient visit, typically 15 minutes	116	98	$175.07	$87.79
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	116	73	$76.00	$45.97
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	96	25	$122.00	$46.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	46	$52.00	$13.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	72	31	$8.00	$1.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	61	61	$303.00	$161.51
G0008 Administration of influenza virus vaccine	57	57	$45.00	$29.18
90662 Influenza vaccine split virus, preservative free	53	53	$99.81	$69.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$335.80	$164.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$429.63	$212.69
G0009 Administration of pneumococcal vaccine	32	32	$41.00	$30.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$228.33	$110.84
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$150.00	$130.80
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	15	15	$37.00	$18.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$268.00	$161.82
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	13	12	$133.00	$69.38
90670 Pneumococcal vaccine for injection into muscle	12	12	$275.00	$252.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	540	139	$84.00	$62.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	457	238	$210.00	$125.25
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	161	161	$130.00	$61.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$201.00	$128.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	142	109	$278.00	$178.06
G0442 Annual alcohol misuse screening, 5 to 15 minutes	129	129	$38.00	$18.19
99213 Established patient office or other outpatient visit, typically 15 minutes	97	80	$147.00	$89.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$315.00	$166.07
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	72	13	$83.00	$39.71
G0444 Annual depression screening, 5 to 15 minutes	69	69	$37.00	$17.88
G0008 Administration of influenza virus vaccine	65	65	$45.00	$28.67
90662 Influenza vaccine split virus, preservative free	61	61	$89.97	$68.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$303.00	$165.28
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	43	13	$102.00	$48.36
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	39	29	$76.00	$47.22
G0009 Administration of pneumococcal vaccine	37	37	$41.00	$28.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$394.00	$221.56
90670 Pneumococcal vaccine for injection into muscle	24	24	$264.58	$249.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$210.00	$112.16
99496 Transitional care management services for problem of high complexity	19	14	$486.00	$272.67
99495 Transitional care management services for problem of at least moderate complexity	17	16	$344.00	$202.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$139.23	$130.17
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$268.00	$165.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	720	11	$33.81	$20.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	371	283	$189.43	$128.16
99213 Established patient office or other outpatient visit, typically 15 minutes	120	110	$143.21	$90.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$173.93	$132.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$315.00	$168.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	46	46	$285.04	$168.84
G0444 Annual depression screening, 5 to 15 minutes	45	45	$49.13	$18.31
G0008 Administration of influenza virus vaccine	27	27	$45.00	$16.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	20	$40.96	$13.91
G0009 Administration of pneumococcal vaccine	25	25	$40.76	$16.54
99443 Telephone medical discussion with physician, 21-30 minutes	24	21	$150.00	$128.56
90662 Influenza vaccine split virus, preservative free	23	23	$88.00	$65.26
81003 Automated urinalysis test	22	12	$15.00	$2.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	18	$100.00	$22.19
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	19	15	$100.00	$45.23
90670 Pneumococcal vaccine for injection into muscle	17	17	$258.82	$240.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$250.14	$182.11
99495 Transitional care management services for problem of at least moderate complexity	12	12	$272.00	$204.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	585	258	$171.53	$107.09
99213 Established patient office or other outpatient visit, typically 15 minutes	296	186	$134.80	$73.86
G0444 Annual depression screening, 5 to 15 minutes	182	182	$50.00	$17.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$150.00	$113.22
G0008 Administration of influenza virus vaccine	101	101	$40.00	$16.28
90682 Influenza vaccine, quadrivalent derived from recombinant dna	100	100	$120.00	$60.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	34	$193.72	$144.19
81003 Automated urinalysis test	38	30	$15.00	$2.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	16	$113.00	$91.29
99335 Established patient assisted living visit, typically 25 minutes	27	19	$166.00	$95.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	20	$40.00	$14.04
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	25	25	$60.00	$42.24
J1040 Injection, methylprednisolone acetate, 80 mg	25	12	$20.00	$11.65
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	24	24	$50.00	$39.73
99443 Telephone medical discussion with physician, 21-30 minutes	21	21	$150.00	$105.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	19	$100.00	$22.64
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	19	17	$96.84	$45.23
20610 Aspiration and/or injection of fluid from large joint	16	11	$162.00	$68.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$185.00	$169.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$118.00	$44.59
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$178.33	$163.13
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	14	12	$160.00	$135.10
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	13	11	$145.00	$60.61
99496 Transitional care management services for problem of high complexity	11	11	$250.00	$239.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,080	12	$33.34	$18.64
99213 Established patient office or other outpatient visit, typically 15 minutes	645	272	$105.00	$72.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	196	$140.00	$105.67
G0444 Annual depression screening, 5 to 15 minutes	177	177	$50.00	$17.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	175	175	$150.00	$112.57
G0008 Administration of influenza virus vaccine	129	129	$40.00	$15.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	122	90	$165.00	$142.78
90662 Influenza vaccine split virus, preservative free	120	120	$80.00	$54.89
81003 Automated urinalysis test	76	54	$15.00	$2.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	51	$90.00	$44.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	45	14	$82.00	$68.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	25	$40.00	$16.25
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	36	19	$113.00	$90.89
G0009 Administration of pneumococcal vaccine	29	29	$40.00	$15.95
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	12	$35.00	$16.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$185.00	$168.46
69210 Removal of impacted ear wax	25	21	$75.00	$45.86
90670 Pneumococcal vaccine for injection into muscle	23	23	$275.00	$208.84
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	23	23	$60.00	$42.41
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	23	23	$50.00	$38.26
99496 Transitional care management services for problem of high complexity	22	18	$250.00	$227.39
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$82.00	$16.63
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$140.00	$52.27
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	16	14	$145.00	$60.02
17110 Destruction of up to 14 skin growths	14	12	$160.00	$103.55
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$175.00	$164.08
20610 Aspiration and/or injection of fluid from large joint	12	11	$162.00	$62.33
99495 Transitional care management services for problem of at least moderate complexity	11	11	$200.00	$160.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,080	12	$26.67	$18.01
99213 Established patient office or other outpatient visit, typically 15 minutes	747	284	$105.00	$70.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	124	$140.00	$103.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	197	197	$150.00	$112.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	133	97	$90.00	$42.50
G0008 Administration of influenza virus vaccine	128	128	$40.00	$19.57
90662 Influenza vaccine split virus, preservative free	121	121	$80.00	$52.30
81003 Automated urinalysis test	80	53	$15.00	$2.71
87804 Detection test by immunoassay with direct visual observation for influenza virus	72	35	$35.00	$16.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	65	26	$113.00	$90.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	31	$40.00	$19.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	48	18	$82.00	$67.98
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	42	42	$185.00	$166.85
69210 Removal of impacted ear wax	30	24	$75.00	$47.59
G0009 Administration of pneumococcal vaccine	30	30	$40.00	$19.57
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	27	27	$50.00	$36.85
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	27	27	$60.00	$42.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	22	$140.00	$52.19
99496 Transitional care management services for problem of high complexity	25	22	$250.00	$225.44
90670 Pneumococcal vaccine for injection into muscle	23	23	$275.00	$197.29
G0444 Annual depression screening, 5 to 15 minutes	23	23	$50.00	$17.28
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$175.00	$161.87
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	18	16	$20.00	$6.17
99495 Transitional care management services for problem of at least moderate complexity	15	14	$200.00	$159.07
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$82.00	$16.42
J1040 Injection, methylprednisolone acetate, 80 mg	15	11	$20.00	$12.91
17110 Destruction of up to 14 skin growths	14	11	$160.00	$107.51
20610 Aspiration and/or injection of fluid from large joint	13	11	$162.00	$63.87
17000 Destruction of skin growth	13	12	$100.00	$61.69
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$40.00	$15.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	844	298	$104.02	$69.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	126	$138.79	$102.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	172	172	$150.00	$110.79
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	161	74	$50.00	$40.30
G0008 Administration of influenza virus vaccine	128	128	$40.00	$23.86
90662 Influenza vaccine split virus, preservative free	120	120	$65.00	$47.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	89	$88.47	$41.29
81003 Automated urinalysis test	100	64	$15.00	$2.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	76	27	$82.00	$67.44
87804 Detection test by immunoassay with direct visual observation for influenza virus	74	34	$35.00	$14.79
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	62	33	$113.00	$89.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	24	$40.00	$24.20
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	41	41	$50.00	$36.97
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	41	41	$60.00	$42.66
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$185.00	$160.37
17110 Destruction of up to 14 skin growths	34	29	$160.00	$102.64
G0009 Administration of pneumococcal vaccine	34	34	$40.00	$24.05
99496 Transitional care management services for problem of high complexity	30	27	$250.00	$222.56
20610 Aspiration and/or injection of fluid from large joint	27	20	$162.00	$54.35
90670 Pneumococcal vaccine for injection into muscle	26	26	$275.00	$181.53
99495 Transitional care management services for problem of at least moderate complexity	25	20	$200.00	$152.02
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$175.00	$160.36
69210 Removal of impacted ear wax	23	17	$75.00	$47.53
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	19	$140.00	$51.85
J1040 Injection, methylprednisolone acetate, 80 mg	20	15	$20.00	$11.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	18	16	$41.90	$8.09
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	17	17	$380.32	$21.24
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	17	17	$380.32	$14.15
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$82.00	$16.28
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	11	11	$145.00	$58.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$175.00	$105.03

Medical Specialties & State Licenses

CMS Verified: 2025-07-31

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL OS17265

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License PA OS009628L

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0017710880003 (PA)

Hospital & Practice Group Affiliations

Santa Rosa Hma Physician Management, Llc

4225 Woodbine Rd, Milton, FL 325718791

Phone: 8509834497

Santa Rosa Hma Physician Management, Llc

4225 Woodbine Rd, Pace, FL 325718791

Phone: 8509946575

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Merlandie Houston , APRN

Nurse Practitioner - Acute Care

NPI 1538746599

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location July 31, 2025

Registered at 5804 DOGWOOD DR, MILTON, FL 325703576 (Tel: 8509834498)

📍

Updated Business Mailing Address July 31, 2025

Registered at 5804 DOGWOOD DR, MILTON, FL 325703576 (Tel: 8509834498)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2025

Internal Medicine (License #OS009628L in PA)

📍

Updated Practice Location April 12, 2021

Registered at 1005 MAR WALT DRIVE, INTERNAL MEDICINE DEPT, FORT WALTON BEACH, FL 325476707 (Tel: 8508638202)

📍

Updated Business Mailing Address April 12, 2021

Registered at 1005 MAR WALT DRIVE, FORT WALTON BEACH, FL 325476707 (Tel: 8508638202)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2021

Internal Medicine (License #OS17265 in FL)

✅

NPI Profile Active May 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2008

Registered at 380 YORK AVENUE, TOWANDA, PA 18848 (Tel: 5702684096)

📍

Updated Business Mailing Address May 23, 2008

Registered at 380 YORK AVENUE, TOWANDA, PA 18848 (Tel: 5702684096)

👤

Provider Name / Credentials Updated May 23, 2008

Recorded as KAREN HOFFMAN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2008

Internal Medicine (License #OS009628L in PA)

🟢

Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154396018

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 22, 2006

Last Update: July 31, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5804 Dogwood Dr

Milton, FL 325703576

Phone: 8509834498

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.