DR. ANDREW J FORGASH MD
NPI 1174567911
Emergency Medicine in Jacksonville, FL
About Dr. Andrew J Forgash Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW J FORGASH MD (NPI 1174567911) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME95944) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Andrew J Forgash Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Andrew Forgash reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Culpeper, VA 22701
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1063377315 (District of Columbia)
- 1,294 clinicians in this Medicare group
Warrenton, VA 20186
- Reassigned Medicare billing, Virginia enrollment
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
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 Andrew Forgash's NPI number?
The NPI number for Andrew Forgash is 1174567911. It was assigned to this individual provider in the NPPES registry on June 15, 2006.
Where is Andrew Forgash located?
Andrew Forgash practices at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 396-5682.
What is Andrew Forgash's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Andrew Forgash enrolled in Medicare?
Yes. Andrew Forgash is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andrew Forgash's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Forgash reassigns Medicare benefits to 2 organizations: Emergency Medicine Associates P.A., P.C. (Culpeper, VA) and Virginia Emergency Medicine Assoicates, Ltd (Warrenton, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Forgash's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Forgash was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Andrew J Forgash, MD · NPI 1174567911
Emergency Medicine physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since June 15, 2006.
## Identity
- **NPI:** 1174567911 (Entity type: Individual)
- **Enumerated:** June 15, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** ME95944 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 PRUDENTIAL DR, Jacksonville, FL 32207-8202
- **Phone:** (904) 396-5682 · **Fax:** (904) 346-0864
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Associates P.A., P.C. (NPI 1881559102, Culpeper, VA); Virginia Emergency Medicine Assoicates, Ltd (NPI 1700988664, Warrenton, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2008
- **Other identifiers:** Medicare PIN P00332303; Medicare PIN U7845Z (FL); Medicare UPIN I57405; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1174567911) · Data from the CMS NPPES public registry.