Dr. David Michael Forman JR.

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NPI Number Detailed Information

Provider Information:

Name:	Dr. David Michael Forman JR.
Gender:	M
Provider License Number If Given:	J6950

NPI Information:

NPI:	1174588602
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	4/18/2006
Last Update Date:	5/5/2021
Reputation Report:

Provider Business Mailing Address:

Address:	2121 PEASE ST STE 305 Harlingen, TX 78550
Phone Number:	9564407246
Fax Number:	9564409517

Provider Business Practice Location Address:

Address:	2121 PEASE ST STE 305 Harlingen, TX 78550
Phone Number:	9564407246
Fax Number:	9564409517

Provider Taxonomy:

Primary:	207LP2900X
Secondary (if any):
State:	TX

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About Dr. David Michael Forman JR.

Dr. David Michael Forman JR.(DR. DAVID MICHAEL FORMAN JR.) is An Anesthesiology Physician in Harlingen, TX. The NPI Number for Dr. David Michael Forman JR. is 1174588602.

The current location address for Dr. David Michael Forman JR. is 2121 PEASE ST STE 305 Harlingen, TX 78550 and the contact number is 9564407246 and fax number is 9564409517. The mailing address for Dr. David Michael Forman JR. is 2121 PEASE ST STE 305 Harlingen, TX 78550- 9564407246 (mailing address contact number - 9564407246).

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. David Michael Forman JR.?

Answer: The NPI Number for Dr. David Michael Forman JR. is 1174588602

Where is Dr. David Michael Forman JR. located?

Answer: Dr. David Michael Forman JR. is located at 2121 PEASE ST STE 305 Harlingen, TX 78550.

What is the specialty for Dr. David Michael Forman JR.?

Answer: The Specialty of Dr. David Michael Forman JR. is An Anesthesiology Physician.

Are there any online reviews for Dr. David Michael Forman JR.?

Answer: Yes! Check It Now.

Are there any other health care providers in Harlingen, TX?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. David Michael Forman JR.

Number of HCPCS	64
Number of Medicare Beneficiaries	298
Number of Services	5176
Total Submitted Charge Amount	726123.03
Total Medicare Allowed Amount	336437.87
Total Medicare Payment Amount	264599.13
Total Medicare Standardized Payment Amount	264357.36
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	14
Number of Medicare Beneficiaries With Drug Services	228
Number of Drug Services	3225
Total Drug Submitted Charge Amount	30273.3
Total Drug Medicare Allowed Amount	7571.23
Total Drug Medicare Payment Amount	6055.08
Total Drug Medicare Standardized Payment Amount	5940.11
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	50
Number of Medicare Beneficiaries With Medical	298
Number of Medical Services	1951
Total Medical Submitted Charge Amount	695849.73
Total Medical Medicare Allowed Amount	328866.64
Total Medical Medicare Payment Amount	258544.05
Total Medical Medicare Standardized Payment Amount	258417.25
Average Age of Beneficiaries	73
Number of Beneficiaries Age Less 65	53
Number of Beneficiaries Age 65 to 74	103
Number of Beneficiaries Age 75 to 84	96
Number of Beneficiaries Age Greater 84	46
Number of Female Beneficiaries	160
Number of Male Beneficiaries	138
Number of Non-Hispanic White Beneficiaries	203
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	62
Number of Beneficiaries With Medicare Only Entitlement	236
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.12
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.15
Percent (%) of Beneficiaries Identified With Asthma	0.08
Percent (%) of Beneficiaries Identified With Cancer	0.12
Percent (%) of Beneficiaries Identified With Heart Failure	0.2
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.5
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.17
Percent (%) of Beneficiaries Identified With Depression	0.32
Percent (%) of Beneficiaries Identified With Diabetes	0.43
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.75
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.5
Percent (%) of Beneficiaries Identified With Osteoporosis	0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.04
Average HCC Risk Score of Beneficiaries	1.5293

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Interventional Pain Management
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1364
Number of Standardized 30-Day Fills	1499.5333333
Aggregate Cost Paid for All Claims	52588.04
Number of Day's Supply for All Claims	32773
Number of Medicare Beneficiaries	162
Number of Claims, Including Refills, for Beneficiaries Age 65+	784
Including Refills, for Beneficiaries Age 65+	885.03333333
Beneficiaries Age 65+	30504.48
Number of Day's Supply for All Claims for Beneficaries Age 65+	19839
Number of Medicare Beneficiaries Age 65+	118
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	#
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	1322
Aggregate Cost Paid for Generic Drugs	38224.51
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	*
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	585
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	19759.63
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	779
Aggregate Cost Paid for Claims Filled by	32828.41
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	544
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	21710.36
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	820
by Low-Income Subsidy	30877.68
Total Claims of Opioid Drugs, Including	973
Aggregate Cost Paid for Opioid Drugs	44185.04
Opioid Claims	116
Opioid_Tot_Clms divided by the Tot_Clms	71.33431085
Total Claims of Long-Acting Opioid Drugs	236
Aggregate Cost Paid for Long-Acting Opioid	29986.2
Number of Day's Supply of All Long-Acting	7035
Long-Acting Opioid Claims	25
Opioid_LA_Tot_Clms divided by the	24.254881809
Total Claims of Antibiotic Drugs, Including	0
Aggregate Cost Paid for Antibiotic Drugs	0
Antibiotic Claims	0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	69.518518519
Number of Beneficiaries Age Less Than 65	44
Number of Beneficiaries Age 65 to 74	55
Number of Beneficiaries Age 75 to 84	51
Number of Female Beneficiaries	95
Number of Male Beneficiaries	67
Number of Non-Hispanic White	109
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	51
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	123
Average Hierarchical Condition Category	1.6144182099

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