JEFFREY DAVID FORMAN (MD) – Pulmonary Disease Physician, NPI 1649233917
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
478 PULMONARY DISEASE in VA
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Provider Addresses for JEFFREY DAVID FORMAN (MD)
Portsmouth Post Office, Heritage Avenue, Maplehaven, Portsmouth, Rockingham County, New Hampshire, 03801, United States
PORTSMOUTH, VA 237070068
Phone: (757) 686-3508
Fax: (757) 686-0541
Type: Mailing
2000, Meade Parkway, Palmyra, Suffolk, Virginia, 23434, United States
SUFFOLK, VA 234344259
Phone: (757) 539-0251
Fax: (757) 539-6237
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 169 Open Payments records for all available years, with a total value of $3,725.
Total Amount is formed as General ($3,725) + Research ($0) + Ownership ($0) = $3,725.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($745).
Total Amount
$3,725
General + Research + Ownership
Payments
169
Total payment records
General Amount
$3,725
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
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: 2010-04-20
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 |
|---|---|---|---|---|
| I20100420000600 | I | Pulmonary Disease | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,229 | 554 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 379 | 302 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 296 | 248 | $0 |
| 71046 | X-ray of chest, 2 views | 233 | 168 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 106 | 105 | $0 |
Insurance plans in this area (ZIP 23707)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | VA | |
| Internal Medicine | VA | |
| - | VA | |
| Internal Medicine | VA | |
| - | NE | |
| - | VA | |
| Endocrinology, Internal Medicine | VA | |
| Hospitalist, Family Practice | VA | |
| - | VA | |
| - | VA |
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