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MR. STEPHEN FORMAN MD
NPI 1184731135
Internal Medicine - Hematology in Duarte, CA

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
99.12/100
CMS Quality Rating
1500 E DUARTE RD, DUARTE, CA 91010(626) 359-8111 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2020, Mar 19, 2018, Jun 30, 2017 (3 updates tracked since 2017).

About Mr. Stephen Forman Md NPPES

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

MR. STEPHEN FORMAN MD (NPI 1184731135) is an individual hematology provider in Duarte, California, licensed in California (G29700) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1974).

NPPES Registry Identity

NPI1184731135
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameMR. STEPHEN FORMANCredential: MD
Location Address1500 E DUARTE RDDuarte, CA 91010
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185 · (626) 775-3514 · Fax (626) 218-5310
Phone(626) 359-8111
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1974
Enumeration DateAugust 24, 2006
Last NPPES UpdateDecember 11, 20203 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1184731135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in CA · G29700
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal MedicineTaxonomy 207R00000X · License G29700 (CA)
1500 E DUARTE RD, Duarte, CA 91010
Open in Google Maps ↗

Other Identifiers 1

MedicaidOOG297000CA

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

Mr. Stephen Forman 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 ID2365624962
PECOS Enrollment IDI20110302000927
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
607 services171 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
130 services67 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
21 services18 patients
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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.23
Promoting Interoperability100
Improvement Activities40

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.

MR. YUN YEN MD
Internal Medicine (Medical Oncology)
1500 E DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
MR. YOUNG KIM MD
Pathology (Hematology)
1500 E DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
MS. ANNA B PAWLOWSKA MD
Pediatrics (Pediatric Hematology-Oncology)
1500 E DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
MS. ANDREA THORNTON PHD
Psychologist
1500 E DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
DR. FINLY ZACHARIAH M.D.
Family Medicine (Hospice and Palliative Medicine)
1500 E DUARTE RD, DEPARTMENT OF SUPPORTIVE CARE
DUARTE, CA 91010
Los Angeles County (626) 256-4673
KIRSTEN PINA TALLMON PA-C
Physician Assistant
1500 E DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 741-7100
MS. SUNITA PATEL PHD
Psychologist (Clinical)
1500 E DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
MS. CYNTHIA PARENTI MD
Anesthesiology
1500 E DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111

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 Stephen Forman's NPI number?

The NPI number for Stephen Forman is 1184731135. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Stephen Forman located?

Stephen Forman practices at 1500 E Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 359-8111.

What is Stephen Forman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Stephen Forman enrolled in Medicare?

Yes. Stephen 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 Stephen Forman was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.