DR. THOMAS F ORMAN (MD) – Cardiovascular Disease Physician, NPI 1386618536
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,517 INTERNAL MEDICINE in IN
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Provider Addresses for DR. THOMAS F ORMAN (MD)
LabCorp, 2723, South 7th Street, Terre Haute, Vigo County, Indiana, 47802, United States
SUITE A
TERRE HAUTE, IN 478023558
Phone: (812) 238-1730
Fax: (812) 242-1565
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,751.
Total Amount is formed as General ($1,751) + Research ($0) + Ownership ($0) = $1,751.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($331).
Total Amount
$1,751
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,751
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100310000469 | I | Cardiovascular Disease (Cardiology) | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 604 | 272 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 415 | 187 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 233 | 117 | $0 |
| 93280 | Programming of dual lead pacemaker system | 225 | 189 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 217 | 103 | $0 |
Insurance plans in this area (ZIP 47802)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 144 | 115 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| R H E U M A T O L O G Y | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| Internal Medicine | IN |
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