DR. CHRISTOPHER W FORMAN M.D.
NPI 1235285644
Internal Medicine in Carson City, NV
Active since January 26, 2007
2874 N CARSON ST, SUITE 200, CARSON CITY, NV 89706(775) 445-7170(775) 883-0959 Get Directions Write a Review
About Dr. Christopher W Forman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHRISTOPHER W FORMAN M.D. (NPI 1235285644) is an individual internal medicine provider in Carson City, Nevada, licensed in Nevada (5528) and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1235285644
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHRISTOPHER W FORMANCredential: M.D.
Location Address2874 N CARSON ST, SUITE 200Carson City, NV 89706-0251
Mailing AddressPo Box 4540Carson City, NV 89702-4540 · (775) 882-0430 · Fax (775) 852-6902
Phone(775) 445-7170
Fax(775) 883-0959
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateSeptember 18, 2014
✔ NPI 1235285644 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · 5528
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2874 N CARSON ST, Carson City, NV 89706
Other Identifiers 5
Other110224130NV · Railroad Medicare Prov
Medicare UPIND95259NV
Medicaid002013125NV
OtherNV0117NV · Bcbs Provider #
Medicare PINBQ885ZNV
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.
Reported Quality Measures
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%985 patients5/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
97%144 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
95%228 patients4/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
96%140 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,479 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
68%1,978 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
3%214 patients1/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
2%677 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%1,380 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%677 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
29%677 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
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.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2874 N CARSON ST, SUITE 120
CARSON CITY, NV 89706
CARSON CITY, NV 89706
Counselor (Addiction (Substance Use Disorder))
2874 N CARSON ST, STE 215
CARSON CITY, NV 89706
CARSON CITY, NV 89706
Nurse Practitioner (Family)
2874 N CARSON ST, SUITE200
CARSON CITY, NV 89706
CARSON CITY, NV 89706
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 Christopher Forman's NPI number?
The NPI number for Christopher Forman is 1235285644. It was assigned to this individual provider in the NPPES registry on January 26, 2007.
Where is Christopher Forman located?
Christopher Forman practices at 2874 N Carson St Suite 200, Carson City, NV 89706. The listed phone number is (775) 445-7170.
What is Christopher Forman's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
When was this NPI record last updated?
The NPPES record for Christopher Forman was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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. Christopher W Forman, M.D. · NPI 1235285644
Internal Medicine physician in Carson City, Nevada. Individual provider, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1235285644 (Entity type: Individual)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 5528 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 2874 N CARSON ST, SUITE 200, Carson City, NV 89706-0251
- **Phone:** (775) 445-7170 · **Fax:** (775) 883-0959
## Record status
- **NPPES last updated:** September 18, 2014
- **Other identifiers:** Other 110224130 (NV); Medicare UPIN D95259 (NV); Medicaid 002013125 (NV); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1235285644) · Data from the CMS NPPES public registry.