DR. DANA LYNN FORMAN I D.O.
NPI 1437319399
Surgery in Fresno, CA
About Dr. Dana Lynn Forman I D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DANA LYNN FORMAN I D.O. (NPI 1437319399) is an individual surgery provider in Fresno, California, licensed in California (20A9772) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Dana Lynn Forman I D.o. 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
5Medicare enrollment records show Dana Forman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gilroy, CA 95020
- Reassigned Medicare billing, California enrollment
- 2,460 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- 266 clinicians in this Medicare group
Greenbrae, CA 94904
- Reassigned Medicare billing, California enrollment
Napa, CA 94558
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93721 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.
FRESNO, CA 93721
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 Forman's NPI number?
The NPI number for Dana Forman is 1437319399. It was assigned to this individual provider in the NPPES registry on June 13, 2008.
Where is Dana Forman located?
Dana Forman practices at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 459-6000.
What is Dana Forman's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Dana Forman enrolled in Medicare?
Yes. Dana Forman 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 Forman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dana Forman reassigns Medicare benefits to 5 organizations: County Of Santa Clara (Gilroy, CA), Acute Care Surgery Medical Group, Inc. (Sacramento, CA), Dana Forman, Inc. (Greenbrae, CA), Providence Medical Foundation (Napa, CA) and Emergency And Acute Care Medical Corporation (San Diego, CA). 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 Forman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dana Forman was last updated on October 16, 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.
# Dr. Dana Lynn Forman I, D.O. · NPI 1437319399
Surgery physician in Fresno, California. Individual provider, active in the CMS NPPES registry since June 13, 2008.
## Identity
- **NPI:** 1437319399 (Entity type: Individual)
- **Enumerated:** June 13, 2008
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 20A9772 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2823 FRESNO ST, Fresno, CA 93721-1324
- **Phone:** (559) 459-6000
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): County Of Santa Clara (NPI 1922093533, Gilroy, CA); Acute Care Surgery Medical Group, Inc. (NPI 1700069549, Sacramento, CA); Dana Forman, Inc. (NPI 1497588800, Greenbrae, CA); Providence Medical Foundation (NPI 1205131950, Napa, CA); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** October 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1437319399) · Data from the CMS NPPES public registry.