MICHELLE J CLARK-FORSTING (MD) – Family Medicine Physician, NPI 1093073975
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,047 FAMILY PRACTICE in WI
Provider Addresses for MICHELLE J CLARK-FORSTING (MD)
711 W Adams St
Black River Falls, WI 546155052
Phone: (715) 284-5361
Type: Location
610 W ADAMS ST
BLACK RIVER FALLS, WI 546159010
Phone: (715) 284-4311
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-01-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $17 |
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: 2015-01-27
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 |
|---|---|---|---|---|
| I20150127000483 | I | Family Practice | WI | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 284 | 105 | $0 |
| 82565 | Blood creatinine level | 154 | 90 | $0 |
| 84132 | Blood potassium level | 143 | 86 | $0 |
| 84295 | Blood sodium level | 140 | 85 | $0 |
| 84520 | Urea nitrogen level to assess kidney function, quantitative | 138 | 83 | $0 |
Insurance plans in this area (ZIP 54615)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospice/Palliative Care | WI | |
| - | WI | |
| Emergency Medicine | WI | |
| H O S P I T A L I S T | MI | |
| - | WI | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology) | NY | |
| Family Practice, Hospice/Palliative Care | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI |
Reviews
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