MICHELLE J CLARK-FORSTING MD
NPI 1093073975
Family Medicine in Black River Falls, WI

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
610 W ADAMS ST, BLACK RIVER FALLS, WI 54615(715) 284-4311 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2025, Jul 25, 2024 (2 updates tracked since 2024).

About Michelle J Clark-forsting Md NPPES

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

MICHELLE J CLARK-FORSTING MD (NPI 1093073975) is an individual family medicine provider in Black River Falls, Wisconsin, licensed in Wisconsin (61498-20) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Black River Memorial Hospital, and maintains a secondary practice location in Black River Falls.

NPPES Registry Identity

NPI1093073975
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE J CLARK-FORSTINGCredential: MD
Location Address610 W ADAMS STBlack River Falls, WI 54615-9010
Mailing Address610 W Adams StBlack River Falls, WI 54615-9010 · (715) 284-4311
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2012
Enumeration DateApril 27, 2012
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1093073975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 61498-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
610 W ADAMS ST, Black River Falls, WI 54615

Secondary Practice Location 1

Location 1711 W Adams StBlack River Falls, WI 54615-5052 · Phone (715) 284-5361

Accepted Insurance

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

Michelle J Clark-forsting Md 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 ID1759605504
PECOS Enrollment IDI20150127000483
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 28

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
269 services99 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
134 services83 patients
Blood potassium level 84132
A blood potassium level test measures the amount of potassium in your blood. Potassium is a vital mineral for the body, helping nerves and muscles, especially the heart, to function properly. Abnormal levels can cause health issues like irregular heartbeat, muscle weakness, or numbness.
123 services81 patients
Blood sodium level 84295
A blood sodium level test measures the amount of sodium, a vital mineral, in your blood. It helps assess your body's water levels and the function of your nerves and muscles. Abnormal levels may indicate conditions like dehydration, kidney disease, or hormonal imbalances.
118 services79 patients
Urea nitrogen level to assess kidney function, quantitative 84520
The urea nitrogen level test is a routine blood test that checks the amount of urea nitrogen in your blood to evaluate how well your kidneys are working. If the levels are higher than normal, it may indicate that your kidneys are not functioning properly.
118 services79 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
98 services89 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Black River Memorial Hospital

Critical Access Hospitals · Black River Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521333
Location711 W Adams StBlack River Falls, WI 54615 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers33 claims67 services$4.47 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$8.60 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$13.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers38 claims38 services$112.16 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$34.87 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$21.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Family Medicine
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615
Family Medicine
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615
Podiatrist (Foot & Ankle Surgery)
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615
Family Medicine
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615
Family Medicine
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615
Family Medicine
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615
Pharmacy (Community/Retail Pharmacy)
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615
Family Medicine
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615

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 Michelle Clark-forsting's NPI number?

The NPI number for Michelle Clark-forsting is 1093073975. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Michelle Clark-forsting located?

Michelle Clark-forsting practices at 610 W Adams St, Black River Falls, WI 54615. The listed phone number is (715) 284-4311.

What is Michelle Clark-forsting's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michelle Clark-forsting enrolled in Medicare?

Yes. Michelle Clark-forsting 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.

What insurance does Michelle Clark-forsting accept?

Health plans from HealthPartners, Medica, Quartz and Security Health Plan list Michelle Clark-forsting as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Clark-forsting affiliated with any hospitals?

According to CMS data, Michelle Clark-forsting is affiliated with Black River Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Clark-forsting was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.