DANA RIOUX FORKER MD
NPI 1417397019
Plastic Surgery in Rochester, MN
About Dana Rioux Forker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA RIOUX FORKER MD (NPI 1417397019) is an individual plastic surgery provider in Rochester, Minnesota, licensed in Utah (11805466-1205) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Chicago College Of Medicine And Surgery (2013).
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
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
Dana Rioux Forker 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.
Medicare Billing Reassignments
3Medicare enrollment records show Dana Rioux Forker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blue Springs, MO 64014
- Reassigned Medicare billing, Kansas and Missouri enrollments
- Medicare enrollment name: Saint Lukes Physician Group Inc
- 845 clinicians in this Medicare group
Sandy, UT 84092
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Sandy, UT 84092
- Reassigned Medicare billing, Utah enrollment
- 751 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 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Luke's South Hospital
Acute Care Hospitals · Overland Park, KSKansas City Orthopaedic Institute
Acute Care Hospitals · Leawood, KSSaint Lukes North Hospital
Acute Care Hospitals · Kansas City, MOSt Lukes Hospital Of Kansas City
Acute Care Hospitals · Kansas City, MOSaint Luke's East Hospital
Acute Care Hospitals · Lees Summit, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
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 Dana Rioux Forker's NPI number?
The NPI number for Dana Rioux Forker is 1417397019. It was assigned to this individual provider in the NPPES registry on June 27, 2013. The provider is also known as Dana Rioux-Forker.
Where is Dana Rioux Forker located?
Dana Rioux Forker practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.
What is Dana Rioux Forker's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Dana Rioux Forker enrolled in Medicare?
Yes. Dana Rioux 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 Dana Rioux Forker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dana Rioux Forker reassigns Medicare benefits to 3 organizations: Saint Luke's Physician Group Inc (Blue Springs, MO), University Of Utah Adult Services (Sandy, UT) and University Of Utah Pediatric Services (Sandy, UT). 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 Dana Rioux Forker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dana Rioux Forker accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Dana Rioux 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 Dana Rioux Forker affiliated with any hospitals?
According to CMS data, Dana Rioux Forker is affiliated with Saint Luke's South Hospital, Kansas City Orthopaedic Institute, Saint Lukes North Hospital, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.
When was this NPI record last updated?
The NPPES record for Dana Rioux Forker was last updated on November 16, 2021. 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.
# Dana Rioux Forker, MD · NPI 1417397019
Plastic Surgery physician in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since June 27, 2013.
## Identity
- **NPI:** 1417397019 (Entity type: Individual)
- **Enumerated:** June 27, 2013
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 11805466-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 1ST ST SW, Rochester, MN 55905
- **Phone:** (507) 284-2511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Saint Luke's Physician Group Inc (NPI 1376257220, Blue Springs, MO); University Of Utah Adult Services (NPI 1851904247, Sandy, UT); University Of Utah Pediatric Services (NPI 1386257152, Sandy, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Chicago College Of Medicine And Surgery, class of 2013
## Record status
- **NPPES last updated:** November 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417397019) · Data from the CMS NPPES public registry.