EVERETT FORMAN, M.D.
General Practice Physician · LATHAM, NY
Individual Active NPI 1528061967
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 102 | 293 | $39,241 | $28,356 | $19,735 |
| 2023 | 99 | 292 | $37,546 | $28,676 | $18,739 |
| 2022 | 119 | 371 | $51,985 | $37,938 | $26,701 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 164 | $83 | $54 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 99 | $120 | $84 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | $123 | $123 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | 103928-1 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other General Practice Physician providers in New York
- NPI 1104160316
- NPI 1144402983
- NPI 1063704211
- NPI 1427352814
- NPI 1366952913
- NPI 1396012324
- NPI 1114155546
- NPI 1831496934
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.