KELLY MARIE FORB MD
NPI 1356569420
Internal Medicine in Charlotte, NC

Q: What is Kelly Forb's NPI number?

The NPI number for Kelly Forb is 1356569420. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Q: What is Kelly Forb's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Forb was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 23, 2007PECOS Enrolled

95.35/100

CMS Quality Rating

8800 N TRYON ST, CHARLOTTE, NC 28262(704) 863-6241 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 54 more (57 updates tracked since 2016).

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About Kelly Marie Forb Md NPPES

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

KELLY MARIE FORB MD (NPI 1356569420) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2010-00282) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1356569420

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKELLY MARIE FORBCredential: MD

Location Address8800 N TRYON STCharlotte, NC 28262-3300

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 863-6241

Sole ProprietorNo

Enumeration DateApril 23, 2007

Last NPPES UpdateJuly 15, 202457 updates tracked since enumeration

✔ NPI 1356569420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2010-00282

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 2010-00282 (NC)

8800 N TRYON ST, Charlotte, NC 28262

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Secondary Practice Locations 4

Location 1920 Church St N, Suite 255Concord, NC 28025-2927 · Phone (704) 403-1331

Location 210628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070

Location 32001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070

Location 41000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Forb Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kelly Forb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network Inc

Same address

Hospitalist

8800 N TRYON ST
Charlotte, NC 28262

Reassigned Medicare billing, North Carolina enrollment
1,646 clinicians in this Medicare group

NPI 1124404405 (704) 863-6241

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

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.

31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier12 claims744 services$5.39 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims12 services$922.57 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 20

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

MS. GENEAN PATREIA BERRY RN

Student in an Organized Health Care Education/Training Program