DR. WENDY L. FORMAN M.D.
NPI 1578537684
Internal Medicine - Infectious Disease in Southampton, PA

Active since February 15, 2006PECOS Enrolled
100/100
CMS Quality Rating
729 GROVE AVE UNIT 4, SOUTHAMPTON, PA 18966(215) 355-9634(215) 357-7540 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2021, Oct 30, 2018 (2 updates tracked since 2018).

About Dr. Wendy L. Forman M.d. NPPES

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

DR. WENDY L. FORMAN M.D. (NPI 1578537684) is an individual infectious disease provider in Southampton, Pennsylvania, licensed in Pennsylvania (MD046342L) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578537684
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. WENDY L. FORMANCredential: M.D.
Location Address729 GROVE AVE UNIT 4Southampton, PA 18966-6008
Mailing Address729 Grove Ave Unit 4Southampton, PA 18966-6008 · (215) 355-9634 · Fax (215) 357-7540
Fax(215) 357-7540
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
NPI 1578537684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in PA · MD046342L
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
729 GROVE AVE UNIT 4, Southampton, PA 18966

Other Identifiers 1

Medicaid0016807330001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Wendy L. Forman M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18966 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.87
Promoting Interoperability100
Improvement Activities40
Cost84.41

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Infectious Disease)
729 GROVE AVE UNIT 4
SOUTHAMPTON, PA 18966
Internal Medicine (Infectious Disease)
729 GROVE AVE UNIT 4
SOUTHAMPTON, PA 18966
Internal Medicine (Infectious Disease)
729 GROVE AVE UNIT 4
SOUTHAMPTON, PA 18966
Internal Medicine (Infectious Disease)
729 GROVE AVE UNIT 4
SOUTHAMPTON, PA 18966
Internal Medicine (Infectious Disease)
729 GROVE AVE UNIT 4
SOUTHAMPTON, PA 18966
Internal Medicine (Infectious Disease)
729 GROVE AVE UNIT 4
SOUTHAMPTON, PA 18966
Internal Medicine (Infectious Disease)
729 GROVE AVE UNIT 4
SOUTHAMPTON, PA 18966
Internal Medicine (Infectious Disease)
729 GROVE AVE UNIT 4
SOUTHAMPTON, PA 18966

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 Wendy Forman's NPI number?

The NPI number for Wendy Forman is 1578537684. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Wendy Forman located?

Wendy Forman practices at 729 Grove Ave Unit 4, Southampton, PA 18966. The listed phone number is (215) 355-9634.

What is Wendy Forman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Wendy Forman enrolled in Medicare?

Yes. Wendy Forman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wendy Forman was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.