Forrest Rice Persing , PA
Physician Assistant - Surgical โข Tyler, TX
3414 Golden Rd
Tyler, TX 757018336
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Forrest Persing is listed in NPPES under Physician Assistant - Surgical.
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NPI assigned on October 11, 2005; this date does not establish years in practice.
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Published CMS data list 748 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 22853 โ Insertion of cage or mesh device to spine bone and disc space during spine fusion: 109 service units.
- 63048 โ Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment: 91 service units.
- 63047 โ Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment: 78 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 18 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 14 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Acetaminophen-Codeine (Acetaminophen With Codeine) โ 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant - Surgical in Tyler, TX (2024, 11 clinicians with data). Median for this group: 840. Middle half: 464 to 1,893.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant - Surgical in Texas (2024, 400 clinicians with data). Median for this group: 157. Middle half: 64 to 570.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 526 in 2020 to 748 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
3414 Golden Rd
Tyler, TX 757018336
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Ortholonestar Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2004
What Public CMS Data Show
Physician Assistant - Surgical: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
190 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $60,731 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $47,865 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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.
30-day fills
14 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$113 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $30.65 across 2 records.
By nature of payment
- Food and Beverage: $30.65 across 2 records.
Reporting-company totals
- Medtronic, Inc.: $16.64 across 1 record.
- DePuy Synthes Sales Inc.: $14.01 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
22 years (graduated 2004)
CMS Doctors and Clinicians data list 2004 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2005
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Forrest Persing 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.
Can order Medicare-covered services
CMS lists Forrest Persing 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Tyler and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant - Surgical in Tyler, TX (2024, 11 clinicians with data). Median for this group: 840. Middle half: 464 to 1,893.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant - Surgical in Texas (2024, 400 clinicians with data). Median for this group: 157. Middle half: 64 to 570.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant - Surgical in Tyler, TX (2024, 11 clinicians with data). Median for this group: $60,731. Middle half: $20,026 to $91,089.
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant - Surgical in Texas (2024, 400 clinicians with data). Median for this group: $12,588. Middle half: $5,620 to $32,103.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant - Surgical in Tyler, TX (2024, 11 clinicians with data). Median for this group: $47,865. Middle half: $14,639 to $68,787.
A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant - Surgical in Texas (2024, 400 clinicians with data). Median for this group: $9,748. Middle half: $4,202 to $24,286.
Medicare Part D prescriptions
Fewer Part D prescriptions than 90% of clinicians listed under Physician Assistant - Surgical in Texas (2024, 348 clinicians with data). Median for this group: 104. Middle half: 41 to 263.
Too few clinicians listed under Physician Assistant - Surgical in Tyler have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 85% of clinicians listed under Physician Assistant - Surgical in Texas (2024, 348 clinicians with data). Median for this group: $828. Middle half: $266 to $3,057.
Too few clinicians listed under Physician Assistant - Surgical in Tyler have Medicare Part D data for 2024 to compare.
18 active clinicians are listed under Physician Assistant - Surgical with a practice address in Tyler, TX (1,350 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tyler
0% of these 18 clinicians have the CMS telehealth indicator.
77.8% of these 18 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 42% from 526 in 2020 to 748 in 2024.
- 2020: 526
- 2021: 628
- 2022: 638
- 2023: 694
- 2024: 748
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Medicare-allowed amount
Medicare-allowed amount increased 22% from $49,903 in 2020 to $60,731 in 2024.
- 2020: $49,903
- 2021: $58,389
- 2022: $54,578
- 2023: $55,192
- 2024: $60,731
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Paid by Medicare
Paid by Medicare increased 20% from $39,970 in 2020 to $47,865 in 2024.
- 2020: $39,970
- 2021: $46,699
- 2022: $43,124
- 2023: $43,255
- 2024: $47,865
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 13 in 2020 to 14 in 2024.
- 2020: 13
- 2021: 30
- 2022: 35
- 2023: 27
- 2024: 14
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30-day fills
30-day fills went from 13 in 2020 to 14 in 2024.
- 2020: 13
- 2021: 30
- 2022: 35
- 2023: 27
- 2024: 14
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Part D drug cost
Part D drug cost went from $95 in 2020 to $113 in 2024.
- 2020: $95
- 2021: $265
- 2022: $214
- 2023: $153
- 2024: $113
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $173.51 in 2021 to $30.65 in 2025.
- 2021: $173.51
- 2022: $230.77
- 2023: $115.73
- 2024: $23.40
- 2025: $30.65
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $30.65.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY | General | $16.64 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
|
Teligen | General | $14.01 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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 |
|---|---|---|---|---|
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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109 | 70 | $170.02 | $33.26 |
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63048
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
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91 | 56 | $134.00 | $27.26 |
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63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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78 | 78 | $697.00 | $88.07 |
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22612
Fusion of spine in lower back
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62 | 62 | $1005.00 | $206.07 |
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22614
Fusion of additional segment of spine
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55 | 30 | $248.00 | $50.44 |
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22840
Placement of stabilizing device to back of 1 spine bone in neck
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54 | 54 | $516.67 | $97.75 |
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72100
X-ray of lower and sacral spine, 2-3 views
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43 | 37 | $118.00 | $31.29 |
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22842
Placement of stabilizing device to back, 3-6 spine bone segments
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39 | 39 | $484.00 | $98.57 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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35 | 33 | $233.00 | $73.62 |
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22551
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
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26 | 26 | $1077.00 | $212.98 |
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22552
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc
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25 | 15 | $252.00 | $51.07 |
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22633
Fusion of spine in lower back with partial removal of spine bone and disc
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24 | 24 | $1367.25 | $235.58 |
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63052
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
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23 | 23 | $170.38 | $33.36 |
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22558
Fusion of lower spine bone through abdomen with partial removal of disc
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20 | 20 | $970.00 | $109.45 |
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72110
X-ray of lower and sacral spine, minimum of 4 views
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19 | 19 | $150.00 | $39.68 |
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72040
X-ray of upper spine, 2-3 views
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18 | 18 | $118.00 | $27.74 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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14 | 14 | $334.00 | $90.28 |
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22845
Placement of stabilizing device to front, 2-3 spine bone segments
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13 | 13 | $461.00 | $93.70 |
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.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Acetaminophen-Codeine | Acetaminophen With Codeine | 14 | 123 | $113.00 | 14 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-03-28NUCC Taxonomy Code: 363AS0400X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20041111000908
TX
6800859687
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ortholonestar Pllc
305 W 20th St, Mount Pleasant, TX 754552327
Phone: 9039397500
Ortholonestar Pllc
3414 Golden Rd, Tyler, TX 757018336
Phone: 9039397500
Ortholonestar Pllc
3800 Gaylord Pkwy, Frisco, TX 750349635
Phone: 2142202468
Ortholonestar Pllc
3816 N University Dr, Nacogdoches, TX 759652011
Phone: 9039397500
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery - Sports Medicine
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Foot and Ankle Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Pain Medicine - Interventional Pain Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Physician Assistant (Certified)
Pain Medicine - Pain Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3414 GOLDEN RD, TYLER, TX 757018336 (Tel: 9039397500)
NPI status registered as active in NPPES database
Registered at 3414 GOLDEN RD, TYLER, TX 757018336 (Tel: 9039397500)
Registered at PO BOX 130189, TYLER, TX 757130189 (Tel: 9039397500)
Recorded as FORREST PERSING, PA
Physician Assistant (license number reported to NPPES: TX PA04288)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistant - Surgicals in Tyler
- Paul Chlapek, PA
- Jordan Cooke, PA-C
- Michael Sullivan, PA
- Mackenzie Intlehouse, PA-C
- Marvin Pennington, PA
- Shane Spears, PA-C, CCP
Mailing Address
3414 Golden Rd
Tyler, TX 757018336
Phone: 9039397500