KEITH D FORWITH (MD) – Specialist, NPI 1467458083
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
179 OTOLARYNGOLOGY in KY
Provider Addresses for KEITH D FORWITH (MD)
Box Car Way, Louisville, Jefferson County, Kentucky, 40272, United States
LOUISVILLE, KY 402950116
Phone: (502) 893-0159
Fax: (502) 213-3853
Type: Mailing
4004 DUPONT CIR
SUITE 220
LOUISVILLE, KY 402074819
Phone: (502) 893-0159
Fax: (502) 213-3853
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $920.
Total Amount is formed as General ($920) + Research ($0) + Ownership ($0) = $920.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Smith+Nephew, Inc. ($345).
Total Amount
$920
General + Research + Ownership
Payments
11
Total payment records
General Amount
$920
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $345 |
| Medtronic, Inc. | $173 |
| Baxter Healthcare | $149 |
| Preceptis Medical, Inc. | $144 |
| Regeneron Healthcare Solutions, Inc. | $80 |
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: 2010-02-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100210000170 | I | Otolaryngology | KY | TBD |
| I20100222000579 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 95117 | Professional service for multiple injections of allergen | 909 | 132 | $0 |
| 95004 | Test for allergy using allergenic extract | 440 | 11 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 381 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 225 | 151 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 145 | 116 | $0 |
Insurance plans in this area (ZIP 40295)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Qualified Audiologist | KY | |
| Qualified Audiologist | TX | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | IN | |
| - | KY | |
| Qualified Audiologist | KY | |
| Physician Assistant | KY | |
| Qualified Audiologist | KY | |
| Otolaryngology, Plastic And Reconstructive Surgery | KY |
Reviews
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