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EVGENIA FORMAN M.D.
NPI 1215042361
Internal Medicine - Geriatric Medicine in Dorchester Center, MA

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
2216 DORCHESTER AVE, DORCHESTER CENTER, MA 02124(617) 296-5100 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evgenia Forman M.d. NPPES

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

EVGENIA FORMAN M.D. (NPI 1215042361) is an individual geriatric medicine provider in Dorchester Center, Massachusetts, licensed in Massachusetts (228097) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1215042361
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameEVGENIA FORMANCredential: M.D.
Location Address2216 DORCHESTER AVEDorchester Center, MA 02124-5607
Mailing Address2216 Dorchester AveDorchester Center, MA 02124-5607
Phone(617) 296-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 25, 2008
✔ NPI 1215042361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in MA · 228097
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
2216 DORCHESTER AVE, Dorchester Center, MA 02124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evgenia 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 ID5890795371
PECOS Enrollment IDI20070106000113
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.

Medicare Billing Reassignment

Medicare enrollment records show Evgenia Forman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Care Of Boston Management Corporation
8.8 mi
Internal Medicine
464 HILLSIDE AVE, SUITE 304
Needham, MA 02494
  • Reassigned Medicare billing, Massachusetts enrollment
  • 356 clinicians in this Medicare group
NPI 1437196359 (617) 754-0730

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 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
693 services198 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
151 services118 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
104 services95 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
81 services50 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
55 services49 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
52 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02124 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier26 claims26 services$35.99 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier15 claims15 services$41.92 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier29 claims29 services$35.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.88 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
2 suppliers21 claims21 services$64.90 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier38 claims38 services$12.60 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 2

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

TARSHE DERIVAL M.A.
Counselor (Mental Health)
2216 DORCHESTER AVE
DORCHESTER, MA 02124
Suffolk County (617) 322-3380
MS. ALEXANDRIA ANNA PIOTROWSKI PHARM.D.
Pharmacist (Pharmacotherapy)
2216 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Suffolk County (617) 296-5100

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 Evgenia Forman's NPI number?

The NPI number for Evgenia Forman is 1215042361. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Evgenia Forman located?

Evgenia Forman practices at 2216 Dorchester Ave, Dorchester Center, MA 02124. The listed phone number is (617) 296-5100.

What is Evgenia Forman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Evgenia Forman enrolled in Medicare?

Yes. Evgenia 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.

Which organization bills Medicare for Evgenia Forman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evgenia Forman reassigns Medicare benefits to Medical Care Of Boston Management Corporation (Needham, MA). The 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 Evgenia Forman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evgenia Forman accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Evgenia Forman 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 Evgenia Forman affiliated with any hospitals?

According to CMS data, Evgenia Forman is affiliated with Mount Auburn Hospital, Beth Israel Deaconess Medical Center and Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Evgenia Forman was last updated on March 25, 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.