DR. DOUGLAS LEE FORMAN M.D.
NPI 1013955236
Specialist in North Bethesda, MD

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
11210 OLD GEORGETOWN RD, NORTH BETHESDA, MD 20852(301) 881-7770(301) 984-8601 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Lee Forman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS LEE FORMAN M.D. (NPI 1013955236) is an individual specialist in North Bethesda, Maryland, licensed in Maryland (D0052044) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1990).

NPPES Registry Identity

NPI1013955236
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DOUGLAS LEE FORMANCredential: M.D.
Location Address11210 OLD GEORGETOWN RDNorth Bethesda, MD 20852-3202
Mailing Address11210 Old Georgetown RdNorth Bethesda, MD 20852-3202 · (301) 881-7770 · Fax (301) 984-8601
Fax(301) 984-8601
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1990
Enumeration DateJune 2, 2006
Last NPPES UpdateMay 4, 2026
NPPES CertifiedMay 4, 2026
NPI 1013955236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MD · D0052044
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

11210 OLD GEORGETOWN RD, North Bethesda, MD 20852

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas Lee Forman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254380702
PECOS Enrollment IDI20050121000583
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services14 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852
Plastic Surgery
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852
Clinic/Center (Ambulatory Surgical)
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852
Specialist
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852
Plastic Surgery
11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Forman's NPI number?

The NPI number for Douglas Forman is 1013955236. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Douglas Forman located?

Douglas Forman practices at 11210 Old Georgetown Rd, North Bethesda, MD 20852. The listed phone number is (301) 881-7770.

What is Douglas Forman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Douglas Forman enrolled in Medicare?

Yes. Douglas Forman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Douglas Forman was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.