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Dr. Dana Lynn Forman , DO

Surgery โ€ข Fresno, CA

Active NPI 1437319399 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2823 Fresno St
Fresno, CA 937211324

Call 5594596000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2823 Fresno St

Fresno, CA 937211324

Telephone 5594596000
Organization at the Same NPPES Address or Phone
Perinatal Medical Group Facility NPI 1760441844

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2005

Medicare patients

138 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $17,948 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $13,766 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

21 years (graduated 2005)

CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Forman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Forman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fresno and California

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Surgery in Fresno, CA (2024, 38 clinicians with data). Median for this group: 236. Middle half: 76 to 404.

Fewer Medicare Part B services than 60% of clinicians listed under Surgery in California (2024, 1,346 clinicians with data). Median for this group: 213. Middle half: 101 to 404.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Surgery in Fresno, CA (2024, 38 clinicians with data). Median for this group: $36,894. Middle half: $12,146 to $64,410.

A lower Medicare-allowed amount than 65% of clinicians listed under Surgery in California (2024, 1,346 clinicians with data). Median for this group: $32,453. Middle half: $13,159 to $66,109.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Surgery in Fresno, CA (2024, 38 clinicians with data). Median for this group: $27,313. Middle half: $8,763 to $47,669.

A lower Medicare payment amount than 65% of clinicians listed under Surgery in California (2024, 1,346 clinicians with data). Median for this group: $24,935. Middle half: $10,148 to $50,637.

67 active clinicians are listed under Surgery with a practice address in Fresno, CA (3,120 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fresno

25.4% of these 67 clinicians have the CMS telehealth indicator.

65.7% of these 67 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
59 48 $271.07 $85.29
99285 Emergency department visit with high level of medical decision making
42 41 $417.14 $177.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
23 23 $499.35 $145.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
12 11 $275.00 $125.58
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
11 11 $204.00 $54.18

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-15
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES CA 20A9772

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20111019000855

Enrollment State Jurisdiction

CA

PECOS Control ID

0941472500

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

27 listed
Michele Ardigo , CRNA

Nurse Anesthetist, Certified Registered

NPI 1154369296

Certified Registered Nurse Anesthetist

Dr. Sheela Baghel , MD

Internal Medicine

NPI 1033523782

Doctor of Medicine (M.D.)

Kamala Basaula , CRNA

Nurse Anesthetist, Certified Registered

NPI 1184050882

Certified Registered Nurse Anesthetist

Casey Elison , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073086310

Certified Registered Nurse Anesthetist

Jason Elliot , PA-C

Physician Assistant - Surgical

NPI 1225157852

Physician Assistant (Certified)

Robert Ford , CRNA

Nurse Anesthetist, Certified Registered

NPI 1114090230

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Business Mailing Address October 16, 2020

Registered at 2625 E DIVISADERO ST, FRESNO, CA 937211431 (Tel: 5594432682)

โœ…
NPI Profile Active June 13, 2008

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 13, 2008

Registered at 2823 FRESNO ST, FRESNO, CA 937211324 (Tel: 5594595196)

๐Ÿ“
Business Mailing Address (Initial Record) June 13, 2008

Registered at 1548 BEDFORD AVE, CLOVIS, CA 936116606 (Tel: 5592104030)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 13, 2008

Recorded as DANA FORMAN, D.O.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2008

Surgery (license number reported to NPPES: CA 20A9772)

๐ŸŸข
Initial NPI Registration & Enumeration June 13, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437319399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2008
Last Update: October 16, 2020
Sole Proprietor: No

Other Surgery Specialists in Fresno

All Surgery Specialists in Fresno

Mailing Address

2625 E Divisadero St

Fresno, CA 937211431

Phone: 5594432682

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.