DR. JOHN ALEXANDER FORDHAM DO
NPI 1225464993
Psychiatry & Neurology - Psychiatry in Napa, CA

Active since September 25, 2013PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1580 1ST ST, NAPA, CA 94559(707) 258-8757(707) 253-0457 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 10, 2017 (2 updates tracked since 2017).

About Dr. John Alexander Fordham Do NPPES

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

DR. JOHN ALEXANDER FORDHAM DO (NPI 1225464993) is an individual psychiatry provider in Napa, California, licensed in California (20A14683) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1225464993
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHN ALEXANDER FORDHAMCredential: DO
Location Address1580 1ST STNapa, CA 94559-2841
Mailing Address1580 1st StNapa, CA 94559-2841 · (707) 258-8757 · Fax (707) 258-8757
Fax(707) 253-0457
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 25, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1225464993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · 20A14683✔ Licensed in FL · UO3464
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1580 1ST ST, Napa, CA 94559

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

Dr. John Alexander Fordham Do 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 ID4880969203
PECOS Enrollment IDI20171010002525
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 Reassignments

2

Medicare enrollment records show John Fordham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2500 ALHAMBRA AVE
Martinez, CA 94553
  • Reassigned Medicare billing, California enrollment
  • 530 clinicians in this Medicare group
Community/Behavioral Health
720 WOOD ST
Eureka, CA 95501
  • Reassigned Medicare billing, California enrollment
  • 65 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

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94559 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
$192.16 typical visit price
range $65.08 – $192.16
Typical copayment $48.04 (range $16.27 – $48.04)
Most-billed visit code 99205
Established Patient
$80.32 typical visit price
range $21.86 – $157.83
Typical copayment $20.08 (range $5.46 – $39.45)
Most-billed visit code 99213
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Other Providers at the Same Location NPPES 12

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

Psychiatry & Neurology (Psychiatry)
1580 1ST ST
NAPA, CA 94559
Psychiatry & Neurology (Psychiatry)
1580 1ST ST
NAPA, CA 94559
Psychiatry & Neurology (Psychiatry)
1580 1ST ST
NAPA, CA 94559
Psychiatry & Neurology (Psychiatry)
1580 1ST ST
NAPA, CA 94559
Psychiatry & Neurology (Psychiatry)
1580 1ST ST
NAPA, CA 94559
Psychologist (Clinical)
1580 1ST ST
NAPA, CA 94559
Psychiatry & Neurology (Psychiatry)
1580 1ST ST
NAPA, CA 94559
Psychiatry & Neurology (Psychiatry)
1580 1ST ST, TRADITIONS BEHAVIORAL HEALTH
NAPA, CA 94559

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 John Fordham's NPI number?

The NPI number for John Fordham is 1225464993. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is John Fordham located?

John Fordham practices at 1580 1st St, Napa, CA 94559. The listed phone number is (707) 258-8757.

What is John Fordham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Fordham enrolled in Medicare?

Yes. John Fordham 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 organizations bill Medicare for John Fordham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Fordham reassigns Medicare benefits to 2 organizations: Contra Costa County (Martinez, CA) and County Of Humboldt (Eureka, CA). 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 John Fordham'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 John Fordham was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.