DR. CHRISTOPHER W FORMAN (M.D.) – Internal Medicine Physician, NPI 1235285644

DR. CHRISTOPHER W FORMAN (M.D.) is a healthcare provider. based in Carson city, Nevada. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 5528 (NV). The NPI Number for DR. CHRISTOPHER W FORMAN (M.D.) is 1235285644

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER W FORMAN (M.D.)
NPI
1235285644
Phone
(775) 445-7170
Address
2874 N CARSON ST
Enumeration Date
26 January 2007
Last Update Date
18 September 2014

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7754457170
Graduation Year
1984 (42 years ago)
PAC ID
9830119643
Group Practice PAC ID
1153479027
Professional Enrollment ID
I20051122000834
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CHRISTOPHER W FORMAN (M.D.)

  • Eagle Medical Center, 2874, North Carson Street, Carson City, Nevada, 89706, United States

    SUITE 200

    CARSON CITY, NV 897060251

    Phone: (775) 445-7170

    Fax: (775) 883-0959

    Type: Location

  • Carson City Post Office, 1111, South Roop Street, Nevada Department of Transportation, Carson City, Nevada, 89701, United States

    CARSON CITY, NV 897024540

    Phone: (775) 882-0430

    Fax: (775) 852-6902

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes378301$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month5733$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month3120$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2929$0
99215Established patient office or other outpatient visit, 40-54 minutes1817$0
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Insurance plans in this area (ZIP 89706)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153479027View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)NV
-NV
U R O L O G YCA
Cardiovascular Disease (Cardiology), Internal MedicineNV
-NV
Physician AssistantCA
Family PracticeNV
Physician AssistantNV
Physician AssistantMT
-NV

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Frequently asked questions

What federal number belongs to DR. CHRISTOPHER W FORMAN (M.D.)?
The federal identifier for DR. CHRISTOPHER W FORMAN (M.D.) is NPI 1235285644.
Is DR. CHRISTOPHER W FORMAN (M.D.)'s NPI currently valid?
The extract we use shows DR. CHRISTOPHER W FORMAN (M.D.) as active.
What field does DR. CHRISTOPHER W FORMAN (M.D.) work in?
You can think of DR. CHRISTOPHER W FORMAN (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CHRISTOPHER W FORMAN (M.D.)'s primary listing?
We display Carson City, Nevada because that is what the record indicates for DR. CHRISTOPHER W FORMAN (M.D.).
What if Carson City, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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