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ZACKARY FORDHAM MD
NPI 1265589089
Emergency Medicine in Gulfport, MS

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
4500 13TH ST, GULFPORT, MS 39502(601) 672-3173 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Zackary Fordham Md NPPES

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

ZACKARY FORDHAM MD (NPI 1265589089) is an individual emergency medicine provider in Gulfport, Mississippi, licensed in Maine (MD18034) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Northern Light Mayo Hospital, and is a graduate of University Of Mississippi School Of Medicine (2006).

NPPES Registry Identity

NPI1265589089
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameZACKARY FORDHAMCredential: MD
Location Address4500 13TH STGulfport, MS 39502
Mailing Address4500 13th St, Po Box 1810Gulfport, MS 39502 · (601) 672-3173
Phone(601) 672-3173
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2006
Enumeration DateJanuary 4, 2007
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1265589089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in ME · MD18034✔ Licensed in AL · 28369✔ Licensed in MS · 21091
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4500 13TH ST, Gulfport, MS 39502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Zackary Fordham 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 ID5092897801
PECOS Enrollment IDI20101122000082, I20241224000514
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
353 services342 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
188 services186 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
75 services74 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
62 services61 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
16 services16 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Light Mayo Hospital

Critical Access Hospitals · Dover Foxcroft, ME
OwnershipGovernment - Hospital District or Authority
CMS Certification Number201309
Location897 West Main StreetDover Foxcroft, ME 04426 · Piscataquis County
Emergency services Birthing friendly

Merit Health Biloxi

Acute Care Hospitals · Biloxi, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250007
Location150 Reynoir StreetBiloxi, MS 39530 · Harrison County
Emergency services Birthing friendly

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39502 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$6.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Zackary Fordham's NPI number?

The NPI number for Zackary Fordham is 1265589089. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Zackary Fordham located?

Zackary Fordham practices at 4500 13th St, Gulfport, MS 39502. The listed phone number is (601) 672-3173.

What is Zackary Fordham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Zackary Fordham enrolled in Medicare?

Yes. Zackary 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.

What insurance does Zackary Fordham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Zackary Fordham 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 Zackary Fordham affiliated with any hospitals?

According to CMS data, Zackary Fordham is affiliated with Northern Light Mayo Hospital, Merit Health Biloxi and Memorial Hospital At Gulfport.

When was this NPI record last updated?

The NPPES record for Zackary Fordham was last updated on October 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.