Marc E. Hofmann, M.D.
NPI 1861498313ActiveIndividual· Internal Medicine, Pulmonary Disease· Gallatin, TN
Internal Medicine, Pulmonary Disease (M.D.) with Sumner Physician Practices LLC, practicing in Gallatin, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $1,307,956 for 1,210 claims, against $70,038 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 19 companies reporting payments in 2025, $1,418 in all, mostly food and beverage. Lists Highpoint Health-Sumner With Ascension Saint Thoma as a hospital affiliation.
Overview
| NPI | 1861498313 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 21, 2005 |
| Last updated in NPPES | Aug 12, 2025 |
| Certified by provider | Aug 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | MD31140 | TN |
| Internal Medicine, Sleep Medicine | 207RS0012X | MD31140 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 557 |
|---|---|
| Services billed | 880 across 11 procedure codes |
| Paid by Medicare | $70,038 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,210 · 1,685 30-day fills |
|---|---|
| Patients | 171 |
| Total drug cost | $1,307,956 |
| Generic share | 56% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists), Sleep Medicine |
Medical group
- Sumner Physician Practices LLCGallatin, TN · 60 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2025$1,418 · 65 payments from 19 companies
- 2024$2,224 · 77 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $205.66 | 11 |
| Harmony Biosciences LLC | $168.78 | 8 |
| Jazz Pharmaceuticals Inc. | $159.06 | 5 |
| Verona Pharma, Inc. | $138.77 | 9 |
| Fisher & Paykel Healthcare Inc | $111.29 | 3 |
What the 2025 payments were for
- Food and Beverage$1,412 · 64 payments
- Education$5.90 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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