GARY FORNERA
NPI 1265464887
Obstetrics & Gynecology in Mc Kenzie, TN

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
77.89/100
CMS Quality Rating
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201(731) 352-7907 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Nov 6, 2024, Mar 25, 2021 and 1 more (4 updates tracked since 2016).

About Gary Fornera NPPES

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

GARY FORNERA (NPI 1265464887) is an individual obstetrics & gynecology provider in Mc Kenzie, Tennessee, licensed in Tennessee (MD44135) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265464887
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameGARY FORNERA
Location Address205 HOSPITAL DR, SUITE AMc Kenzie, TN 38201-1649
Mailing Address205 Hospital Dr, Suite AMc Kenzie, TN 38201-1649
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1984
Enumeration DateJuly 6, 2006
Last NPPES UpdateDecember 4, 20244 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1265464887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in TN · MD44135 Licensed in IN · 01095188A Licensed in OH · 35.128377
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
205 HOSPITAL DR, Mc Kenzie, TN 38201

Secondary Practice Locations 2

Location 11355 Mariners DrWarsaw, IN 46582-7145 · Phone (574) 372-1282 · Fax (574) 372-1275
Location 2433 W High StBryan, OH 43506-1690 · Phone (419) 633-0755 · Fax (419) 633-0758

Accepted Insurance

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

Gary Fornera 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 ID8729986898
PECOS Enrollment IDI20221116001174
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.

Hospital Affiliations CMS Care Compare 2

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38201 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

77.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.07
Promoting Interoperability100
Improvement Activities40
Cost36.25

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.

Pharmacist
205 HOSPITAL DR
MC KENZIE, TN 38201
Physician Assistant
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Urology
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Clinic/Center (Radiology)
205 HOSPITAL DR, SUITE C
MC KENZIE, TN 38201
Physician Assistant (Medical)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Nurse Practitioner (Family)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Nurse Practitioner (Family)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Marriage & Family Therapist
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201

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 Gary Fornera's NPI number?

The NPI number for Gary Fornera is 1265464887. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Gary Fornera located?

Gary Fornera practices at 205 Hospital Dr Suite A, Mc Kenzie, TN 38201. The listed phone number is (731) 352-7907.

What is Gary Fornera's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gary Fornera enrolled in Medicare?

Yes. Gary Fornera 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.

What insurance does Gary Fornera accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Gary Fornera 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 Gary Fornera affiliated with any hospitals?

According to CMS data, Gary Fornera is affiliated with Parkview Regional Medical Center and Community Hospitals And Wellness Centers.

When was this NPI record last updated?

The NPPES record for Gary Fornera was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.