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Seth B Forman

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NPI Number Detailed Information

Provider Information:

Name: Seth B Forman
Gender: M
Provider License Number If Given: ME96509

NPI Information:

NPI: 1346304540
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 12/21/2006

Last Update Date: 9/12/2019

Reputation Report:

Provider Business Mailing Address:

Address: 15416 N FLORIDA AVE
Tampa, FL 33613
Phone Number: 8139604200
Fax Number: 8139602410

Provider Business Practice Location Address:

Address: 4915 EHRLICH RD
Tampa, FL 33624
Phone Number: 8139602400
Fax Number:

Provider Taxonomy:

Primary: 207ND0900X
Secondary (if any): 207NS0135X
State: FL

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About Seth B Forman

Seth B Forman ( SETH B FORMAN ) is A Dermatology Physician in Tampa, FL. The NPI Number for Seth B Forman is 1346304540.
The current location address for Seth B Forman is 4915 EHRLICH RD Tampa, FL 33624 and the contact number is 8139604200 and fax number is 8139602410. The mailing address for Seth B Forman is 15416 N FLORIDA AVE Tampa, FL 33613- 8139602400 (mailing address contact number - 8139604200).
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Provider Business Location on Map

FAQs:

What is the NPI Number for Seth B Forman ?


Answer: The NPI Number for Seth B Forman is 1346304540

Where is Seth B Forman located?


Answer: Seth B Forman is located at 4915 EHRLICH RD Tampa, FL 33624.

What is the specialty for Seth B Forman ?


Answer: The Specialty of Seth B Forman is A Dermatology Physician.

Are there any online reviews for Seth B 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 Seth B Forman

Number of HCPCS 53
Number of Medicare Beneficiaries 771
Number of Services 8903
Total Submitted Charge Amount 952846.34
Total Medicare Allowed Amount 314714.77
Total Medicare Payment Amount 235497.87
Total Medicare Standardized Payment Amount 239343.36
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 30
Number of Drug Services 2693
Total Drug Submitted Charge Amount 28487
Total Drug Medicare Allowed Amount 9268.39
Total Drug Medicare Payment Amount 7251.12
Total Drug Medicare Standardized Payment Amount 7106.09
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 48
Number of Medicare Beneficiaries With Medical 771
Number of Medical Services 6210
Total Medical Submitted Charge Amount 924359.34
Total Medical Medicare Allowed Amount 305446.38
Total Medical Medicare Payment Amount 228246.75
Total Medical Medicare Standardized Payment Amount 232237.27
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 20
Number of Beneficiaries Age 65 to 74 365
Number of Beneficiaries Age 75 to 84 298
Number of Beneficiaries Age Greater 84 88
Number of Female Beneficiaries 343
Number of Male Beneficiaries 428
Number of Non-Hispanic White Beneficiaries 699
Number of Black or African American Beneficiaries 17
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 33
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 26
Number of Beneficiaries With Medicare Only Entitlement 745
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.12
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.14
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.19
Percent (%) of Beneficiaries Identified With Diabetes 0.28
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.73
Percent (%) of Beneficiaries Identified With Hypertension 0.73
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.45
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.42
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.1136

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 Dermatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 909
Number of Standardized 30-Day Fills 971.93333333
Aggregate Cost Paid for All Claims 761833.04
Number of Day's Supply for All Claims 22894
Number of Medicare Beneficiaries 323
Number of Claims, Including Refills, for Beneficiaries Age 65+ 812
Including Refills, for Beneficiaries Age 65+ 871.1
Beneficiaries Age 65+ 543831.38
Number of Day's Supply for All Claims for Beneficaries Age 65+ 20419
Number of Medicare Beneficiaries Age 65+ 297
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 152
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 757
Aggregate Cost Paid for Generic Drugs 41321.64
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 395
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 451139.24
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 514
Aggregate Cost Paid for Claims Filled by 310693.8
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 194
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 494000.75
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 715
by Low-Income Subsidy 267832.29
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 140
Aggregate Cost Paid for Antibiotic Drugs 5865.8
Antibiotic Claims 66
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 73.526315789
Number of Beneficiaries Age Less Than 65 26
Number of Beneficiaries Age 65 to 74 146
Number of Beneficiaries Age 75 to 84 118
Number of Female Beneficiaries 162
Number of Male Beneficiaries 161
Number of Non-Hispanic White 284
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 17
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 290
Average Hierarchical Condition Category 1.2238606758

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