DR. HARRY CLIFFORD FORNWALT III MD
NPI 1306084173
Hospitalist in Orange, CA

Active since January 31, 2009PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
101 THE CITY DR S, ORANGE, CA 92868(714) 880-7812 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Harry Clifford Fornwalt Iii Md NPPES

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

DR. HARRY CLIFFORD FORNWALT III MD (NPI 1306084173) is an individual hospitalist provider in Orange, California, licensed in California (A103430) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Whittier, and is a graduate of University Of California, Irvine, California College Of Medicine (2006).

NPPES Registry Identity

NPI1306084173
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. HARRY CLIFFORD FORNWALT IIICredential: MD
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2006
Enumeration DateJanuary 31, 2009
Last NPPES UpdateApril 6, 2023
NPPES CertifiedApril 6, 2023
NPI 1306084173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A103430
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License A103430 (CA)
101 THE CITY DR S, Orange, CA 92868

Secondary Practice Location 1

Location 112401 Washington BlvdWhittier, CA 90602-1006 · Phone (562) 698-0811 · Fax (562) 789-4413

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

Dr. Harry Clifford Fornwalt Iii 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 ID7214089838
PECOS Enrollment IDI20090713000426
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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services57 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services48 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
23 services23 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Improvement Activities40
Cost59.29

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.

Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868

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 Harry Fornwalt's NPI number?

The NPI number for Harry Fornwalt is 1306084173. It was assigned to this individual provider in the NPPES registry on January 31, 2009.

Where is Harry Fornwalt located?

Harry Fornwalt practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 880-7812.

What is Harry Fornwalt's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Harry Fornwalt enrolled in Medicare?

Yes. Harry Fornwalt 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.

When was this NPI record last updated?

The NPPES record for Harry Fornwalt was last updated on April 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.