DR. DAVID MICHAEL JR. FORMAN (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1174588602
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
327 INTERVENTIONAL PAIN MANAGEMENT in TX
Provider Addresses for DR. DAVID MICHAEL JR. FORMAN (M.D.)
5700 N EXPRESSWAY 77/83 SUITE 101
BROWNSVILLE, TX 78526
Phone: (956) 350-0900
Fax: (956) 350-0906
Type: Mailing
5700 N. EXPRESSWAY 77/83 SUITE 101
BROWNSVILLE, TX 78526
Phone: (956) 350-0900
Fax: (956) 350-0906
Type: Location
2121 PEASE ST STE 305
HARLINGEN, TX 785508349
Phone: (956) 440-7246
Fax: (956) 440-9517
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $3,065.
Total Amount is formed as General ($3,065) + Research ($0) + Ownership ($0) = $3,065.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Medtronic, Inc. ($969).
Total Amount
$3,065
General + Research + Ownership
Payments
57
Total payment records
General Amount
$3,065
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $969 |
| Spinal Simplicity, LLC | $897 |
| Nevro Corp. | $470 |
| Vertos Medical, Inc. | $354 |
| Nalu Medical, Inc. | $288 |
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: 2004-04-19
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 |
|---|---|---|---|---|
| I20040419001643 | I | Interventional Pain Management | TX | 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 |
|---|---|---|---|---|
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 1,309 | 107 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 928 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 518 | 145 | $0 |
| 01992 | Anesthesia for nerve block and injection procedure, prone position | 227 | 100 | $0 |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 69 | 41 | $0 |
Insurance plans in this area (ZIP 78526)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 54 | 35 |
| INTERVENTIONAL PAIN MANAGEMENT | TX | 62311 | Injections of substances into lower or sacral spine | 24 | 12 |
| INTERVENTIONAL PAIN MANAGEMENT | TX | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 59 | 25 |
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