Jonathan D. Forman

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NPI Number Detailed Information

Provider Information:

Name:	Jonathan D. Forman
Gender:	M
Provider License Number If Given:	ME95483

NPI Information:

NPI:	1144259078
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/2/2006
Last Update Date:	3/17/2017
Reputation Report:

Provider Business Mailing Address:

Address:	4606 S MATANZAS AVE Tampa, FL 33611
Phone Number:	8138773100
Fax Number:	8138773800

Provider Business Practice Location Address:

Address:	508 S HABANA AVE SUITE #170 Tampa, FL 33609
Phone Number:	8138773100
Fax Number:	8138773800

Provider Taxonomy:

Primary:	207YX0905X
Secondary (if any):
State:	FL

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About Jonathan D. Forman

Jonathan D. Forman ( JONATHAN D. FORMAN ) is An Otolaryngology Physician in Tampa, FL. The NPI Number for Jonathan D. Forman is 1144259078.

The current location address for Jonathan D. Forman is 508 S HABANA AVE SUITE #170 Tampa, FL 33609 and the contact number is 8138773100 and fax number is 8138773800. The mailing address for Jonathan D. Forman is 4606 S MATANZAS AVE Tampa, FL 33611- 8138773100 (mailing address contact number - 8138773100).

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jonathan D. Forman ?

Answer: The NPI Number for Jonathan D. Forman is 1144259078

Where is Jonathan D. Forman located?

Answer: Jonathan D. Forman is located at 508 S HABANA AVE SUITE #170 Tampa, FL 33609.

What is the specialty for Jonathan D. Forman ?

Answer: The Specialty of Jonathan D. Forman is An Otolaryngology Physician.

Are there any online reviews for Jonathan D. Forman ?

Answer: Yes! Check It Now.

Are there any other health care providers in Tampa, FL?

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 Jonathan D. Forman

Number of HCPCS	71
Number of Medicare Beneficiaries	300
Number of Services	1305
Total Submitted Charge Amount	555667
Total Medicare Allowed Amount	233964.3
Total Medicare Payment Amount	179107.27
Total Medicare Standardized Payment Amount	170357.31
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65	20
Number of Beneficiaries Age 65 to 74	136
Number of Beneficiaries Age 75 to 84	110
Number of Beneficiaries Age Greater 84	34
Number of Female Beneficiaries	155
Number of Male Beneficiaries	145
Number of Non-Hispanic White Beneficiaries	244
Number of Black or African American Beneficiaries	23
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	17
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	18
Number of Beneficiaries With Medicare Only Entitlement	282
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.12
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.16
Percent (%) of Beneficiaries Identified With Asthma	0.17
Percent (%) of Beneficiaries Identified With Cancer	0.13
Percent (%) of Beneficiaries Identified With Heart Failure	0.16
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.3
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.18
Percent (%) of Beneficiaries Identified With Depression	0.25
Percent (%) of Beneficiaries Identified With Diabetes	0.23
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.68
Percent (%) of Beneficiaries Identified With Hypertension	0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.45
Percent (%) of Beneficiaries Identified With Osteoporosis	0.12
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.1
Average HCC Risk Score of Beneficiaries	1.2652

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	Otolaryngology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	575
Number of Standardized 30-Day Fills	828.5
Aggregate Cost Paid for All Claims	16036.62
Number of Day's Supply for All Claims	20065
Number of Medicare Beneficiaries	171
Number of Claims, Including Refills, for Beneficiaries Age 65+	500
Including Refills, for Beneficiaries Age 65+	731.5
Beneficiaries Age 65+	14069.85
Number of Day's Supply for All Claims for Beneficaries Age 65+	17926
Number of Medicare Beneficiaries Age 65+	153
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	35
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	540
Aggregate Cost Paid for Generic Drugs	14392.89
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	212
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	5858.06
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	363
Aggregate Cost Paid for Claims Filled by	10178.56
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	117
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	4088.11
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	458
by Low-Income Subsidy	11948.51
Total Claims of Opioid Drugs, Including	32
Aggregate Cost Paid for Opioid Drugs	182.27
Opioid Claims	19
Opioid_Tot_Clms divided by the Tot_Clms	5.5652173913
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	42
Aggregate Cost Paid for Antibiotic Drugs	738.15
Antibiotic Claims	34
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	72.777777778
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74	79
Number of Beneficiaries Age 75 to 84	64
Number of Female Beneficiaries	97
Number of Male Beneficiaries	74
Number of Non-Hispanic White	133
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	20
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	147
Average Hierarchical Condition Category	1.3827192982

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