DR. TAIT D FORS (M.D.) – Urology Physician, NPI 1649293358
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
249 UROLOGY in WI
Provider Addresses for DR. TAIT D FORS (M.D.)
1265 W AMERICAN DR STE 100
NEENAH, WI 549561405
Phone: (920) 722-7747
Type: Mailing
3 NEENAH CTR
NEENAH, WI 549563070
Phone: (920) 886-8979
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $729.
Total Amount is formed as General ($729) + Research ($0) + Ownership ($0) = $729.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($203).
Total Amount
$729
General + Research + Ownership
Payments
31
Total payment records
General Amount
$729
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $203 |
| Medtronic, Inc. | $122 |
| Janssen Biotech, Inc. | $81 |
| ABBVIE INC. | $34 |
| PROCEPT BioRobotics Corporation | $32 |
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: 2006-09-01
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20060901000204 | I | Urology | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,756 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 245 | 215 | $0 |
| 81003 | Automated urinalysis test | 238 | 211 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 163 | 146 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 142 | 132 | $0 |
Insurance plans in this area (ZIP 54956)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | WI | 76872 | Ultrasound of rectum | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Family Practice | WI | |
| - | FL | |
| Hospitalist, Internal Medicine | MI | |
| P S Y C H I A T R Y | WI | |
| - | WI | |
| - | WA | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI |
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