MS. MALENA FORGACH (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1104372358
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MS. MALENA FORGACH (PHYSICIAN ASSISTANT)
505 N Clippert St.
Lansing, MI 48912
Phone: (517) 999-2273
Type: Location
5947 TROYES RD
EAST LANSING, MI 488239230
Phone: (989) 430-1166
Type: Mailing
Lansing Road, Durand, Vernon Township, Shiawassee County, Michigan, 48429, United States
DURAND, MI 48429
Phone: (989) 288-0400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,790.
Total Amount is formed as General ($1,790) + Research ($0) + Ownership ($0) = $1,790.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($1,674).
Total Amount
$1,790
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,790
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $1,674 |
| Novo Nordisk Inc | $62 |
| VIVUS LLC | $36 |
| Lilly USA, LLC | $18 |
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: 2016-11-17
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 |
|---|---|---|---|---|
| I20161117000946 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 21 | 21 | $0 |
Insurance plans in this area (ZIP 48912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| P A T H O L O G Y | IL | |
| Nurse Practitioner | MI | |
| Vascular Surgery, General Surgery | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Family Practice | MI |
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