KEVIN FORSYTHE MD INC
NPI 1265727309
Orthopaedic Surgery - Sports Medicine in Templeton, CA

Q: What is Kevin Forsythe MD Inc's NPI number?

The NPI number for Kevin Forsythe MD Inc is 1265727309. It was assigned to this organization in the NPPES registry on June 16, 2011.

Q: What is Kevin Forsythe MD Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since June 16, 2011

1111 LAS TABLAS ROAD SUITE R, TEMPLETON, CA 93465(805) 286-4416(888) 216-9538 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, May 31, 2017 (2 updates tracked since 2017).

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About Kevin Forsythe Md Inc NPPES

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

KEVIN FORSYTHE MD INC (NPI 1265727309) is a healthcare organization registered as a sports medicine in Templeton, California and active in the NPI registry since June 2011. The organization lists Kevin C Forsythe, President, as its authorized official.

NPPES Registry Identity

NPI1265727309

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameKEVIN FORSYTHE MD INC

Location Address1111 LAS TABLAS ROAD SUITE RTempleton, CA 93465-3742

Mailing Address1111 Las Tablas Road Suite RTempleton, CA 93465-3742 · (805) 286-4416 · Fax (888) 216-9538

Phone(805) 286-4416

Fax(888) 216-9538

Organization SubpartNo

Authorized OfficialKevin C ForsythePresident · (805) 952-5723

Enumeration DateJune 16, 2011

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1265727309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · A96098

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

1111 LAS TABLAS ROAD SUITE R, Templeton, CA 93465

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Other Identifiers 2

OtherC3375536CA · Secretary Of State Corporation Number

Other10507CA · City Of Paso Robles Business License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Forsythe Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20110829000142Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kevin Forsythe MD Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kevin Forsythe, MD

Orthopedic Surgery

NPI 1346272812

1111 LAS TABLAS ROAD SUITE R
Templeton, CA 93465

(805) 286-4416

✔ PECOS✔ Accepts MedicareSame address

Sarah Forsythe, M.D.

Family Practice

NPI 1265435622

1111 LAS TABLAS RD
Templeton, CA 93465

(805) 286-4416

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kevin Forsythe MD Inc's NPI number?

The NPI number for Kevin Forsythe MD Inc is 1265727309. It was assigned to this organization in the NPPES registry on June 16, 2011.

Where is Kevin Forsythe MD Inc located?

Kevin Forsythe MD Inc is located at 1111 Las Tablas Road Suite R, Templeton, CA 93465. The listed phone number is (805) 286-4416.

What is Kevin Forsythe MD Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Kevin Forsythe MD Inc enrolled in Medicare?

Yes. Kevin Forsythe MD Inc is registered in the Medicare PECOS enrollment system.

When is Kevin Forsythe MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kevin Forsythe MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kevin Forsythe MD Inc, in Family Practice and Orthopedic Surgery. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Forsythe MD Inc 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.