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JOHN L FORSYTHE M.D.
NPI 1326047457
Family Medicine in Nederland, TX

Active since July 20, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1064071 · Waiver
2300 HIGHWAY 365 STE 230, NEDERLAND, TX 77627(409) 722-0808(409) 722-4422 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John L Forsythe M.d. NPPES

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

JOHN L FORSYTHE M.D. (NPI 1326047457) is an individual family medicine provider in Nederland, Texas, licensed in Texas (E9635) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 28, 2027, and is affiliated with Christus Southeast Texas- St Elizabeth.

NPPES Registry Identity

NPI1326047457
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN L FORSYTHECredential: M.D.
Location Address2300 HIGHWAY 365 STE 230Nederland, TX 77627-6283
Mailing Address2300 Highway 365 Ste 230Nederland, TX 77627-6283 · (409) 722-0808 · Fax (409) 722-4422
Phone(409) 722-0808
Fax(409) 722-4422
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateJuly 20, 2005
Last NPPES UpdateJune 26, 2020
NPPES CertifiedJune 26, 2020
✔ NPI 1326047457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · E9635
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License E9635 (TX)
2300 HIGHWAY 365 STE 230, Nederland, TX 77627
Open in Google Maps ↗

Other Identifiers 4

Other8AJ013TX · Bcbs Individual Provider#
Other8F3051TX · Medicare Provider #
Medicaid1264582-07TX
OtherP00382814TX · Railroad Medicare Individual Provider #

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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

John L Forsythe 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 ID5496762817
PECOS Enrollment IDI20060630000216
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1064071

John L Forsythe MD PA · Nederland, TX
Active · expires Jan 28, 2027
CLIA Number45D1064071
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorJohn L. Forsythe, MD PA
Laboratory Phone(409) 722-0808
Laboratory LocationJohn L Forsythe MD PA2300 Hwy 365, Ste 230, Nederland, TX 77627
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
297 services104 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
52 services34 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
29 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77627 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims44 services$6.44 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims12 services$1.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers31 claims31 services$61.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN L. FORSYTHE, M.D.P.A
Family Medicine
2300 HIGHWAY 365 STE 230
NEDERLAND, TX 77627
Jefferson County (409) 722-0808

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 John Forsythe's NPI number?

The NPI number for John Forsythe is 1326047457. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is John Forsythe located?

John Forsythe practices at 2300 Highway 365 Ste 230, Nederland, TX 77627. The listed phone number is (409) 722-0808.

What is John Forsythe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Forsythe enrolled in Medicare?

Yes. John Forsythe 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.

Does John Forsythe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1064071) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does John Forsythe accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list John Forsythe 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 John Forsythe affiliated with any hospitals?

According to CMS data, John Forsythe is affiliated with Christus Southeast Texas- St Elizabeth.

When was this NPI record last updated?

The NPPES record for John Forsythe was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.