CYNTHIA A FORKER M.D.
NPI 1285924795
Pathology - Anatomic Pathology & Clinical Pathology in Portland, ME

Active since April 18, 2011PECOS EnrolledAccepts Medicare Assignment
91.91/100
CMS Quality Rating
22 BRAMHALL ST, PORTLAND, ME 04102(207) 482-7800 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2022, Jun 11, 2019, Sep 21, 2018 (3 updates tracked since 2018).

About Cynthia A Forker M.d. NPPES

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

CYNTHIA A FORKER M.D. (NPI 1285924795) is an individual anatomic pathology & clinical pathology provider in Portland, Maine, licensed in Maine (MD25287) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285924795
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameCYNTHIA A FORKERCredential: M.D.
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address324 Gannett Dr Ste 200South Portland, ME 04106-3266 · (207) 482-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 18, 2011
Last NPPES UpdateJanuary 5, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
✔ NPI 1285924795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in ME · MD25287✔ Licensed in TX · Q9995
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License Q9995 (TX)
22 BRAMHALL ST, Portland, ME 04102

Other Identifiers 1

Medicaid1285924795ME

Accepted Insurance

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

Cynthia A Forker M.d. 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 ID9638321268
PECOS Enrollment IDI20220112000181, I20220112000319, I20240724004065
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

3

Medicare enrollment records show Cynthia Forker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
22 BRAMHALL ST
Portland, ME 04102
  • Reassigned Medicare billing, Maine and New Hampshire enrollments
  • Medicare enrollment name: Spectrum Healthcare Partners PA
  • 29 clinicians in this Medicare group
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • Medicare enrollment name: Lab Medicine Of Greater Tulsa PC
  • 16 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 20

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
749 services140 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
584 services310 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
371 services306 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
186 services78 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
175 services152 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
168 services61 patients

Hospital Affiliations CMS Care Compare 5

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

91.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.05
Improvement Activities40

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.

Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102

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 Cynthia Forker's NPI number?

The NPI number for Cynthia Forker is 1285924795. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Where is Cynthia Forker located?

Cynthia Forker practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 482-7800.

What is Cynthia Forker's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Cynthia Forker enrolled in Medicare?

Yes. Cynthia Forker 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 Cynthia Forker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Forker reassigns Medicare benefits to 3 organizations: Spectrum Healthcare Partners, P.A. (Portland, ME), University Hospitals Medical Group Inc (Cleveland, OH) and Lab Medicine Of Greater Tulsa, P.C. (Tulsa, OK). 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 Cynthia Forker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Forker accept?

Health plans from Ambetter from NH Healthy Families, Blue Cross and Blue Shield of Oklahoma, CareSource and Taro Health list Cynthia Forker 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 Cynthia Forker affiliated with any hospitals?

According to CMS data, Cynthia Forker is affiliated with Maine Medical Center, York Hospital, Mid Coast Hospital, Central Maine Medical Center and Penobscot Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Cynthia Forker was last updated on January 5, 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.