DR. JEFFREY MICHAEL FORNADLEY M.D.
NPI 1659633162
Plastic Surgery in Hershey, PA

Q: What is Jeffrey Fornadley's NPI number?

The NPI number for Jeffrey Fornadley is 1659633162. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Q: What is Jeffrey Fornadley's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Fornadley was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 June 11, 2012PECOS Enrolled

71.17/100

CMS Quality Rating

500 UNIVERSITY DR, DEPT OF SURGERY MC H159, HERSHEY, PA 17033(717) 531-8557(717) 531-5393 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2025, Oct 2, 2023 (2 updates tracked since 2023).

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About Dr. Jeffrey Michael Fornadley M.d. NPPES

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

DR. JEFFREY MICHAEL FORNADLEY M.D. (NPI 1659633162) is an individual plastic surgery provider in Hershey, Pennsylvania, licensed in Kentucky (TP725) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1659633162

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. JEFFREY MICHAEL FORNADLEYCredential: M.D.

Location Address500 UNIVERSITY DR, DEPT OF SURGERY MC H159Hershey, PA 17033-2360

Mailing Address500 University Dr, Dept Of Surgery Mc H159Hershey, PA 17033-2360 · (717) 531-8557 · Fax (717) 531-5393

Phone(717) 531-8557

Fax(717) 531-5393

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2012

Enumeration DateJune 11, 2012

Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1659633162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in KY · TP725✔ Licensed in PA · MD471038

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

500 UNIVERSITY DR, Hershey, PA 17033

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Secondary Practice Location 1

Location 1401 E Chestnut StLouisville, KY 40202-5700 · Phone (502) 583-8303 · Fax (502) 588-9506

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. Jeffrey Michael Fornadley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577829977

PECOS Enrollment IDI20230731002286

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.

Areas of Expertise CMS Part B claims 2

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.

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

13 services12 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390004

Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County

Emergency services

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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.

71.17/100

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

Scored as part of a group practice

Quality

46.05

Promoting Interoperability

Improvement Activities

Cost

58.7

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.

MR. DANIEL MICHAEL WEISS I PA-C

Physician Assistant

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-7299

NICOLE SWALLOW M.D.

Internal Medicine

500 UNIVERSITY DR, H088
HERSHEY, PA 17033

Dauphin County (717) 531-1692

NEERAV GOYAL M.D.

Otolaryngology

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KARIMA C FITZGERALD M.D.

Surgery (Trauma Surgery)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8887

DR. ANTHONY SIMON BONAVIA M.D.

Anesthesiology (Critical Care Medicine)

500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033

Dauphin County (717) 531-8521

DR. HIROKO SHIKE MD

Pathology (Clinical Pathology/Laboratory Medicine)

500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033

Dauphin County (717) 531-8615

MARIUM TARIQ M.D.

Family Medicine

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KANTHI BANGALORE KRISHNA MBBS

Pediatrics (Pediatric Endocrinology)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (800) 243-1455

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 Jeffrey Fornadley's NPI number?

The NPI number for Jeffrey Fornadley is 1659633162. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Jeffrey Fornadley located?

Jeffrey Fornadley practices at 500 University Dr Dept Of Surgery Mc H159, Hershey, PA 17033. The listed phone number is (717) 531-8557.

What is Jeffrey Fornadley's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jeffrey Fornadley enrolled in Medicare?

Yes. Jeffrey Fornadley is registered in the Medicare PECOS enrollment system.

Is Jeffrey Fornadley affiliated with any hospitals?

According to CMS data, Jeffrey Fornadley is affiliated with Penn State Health Holy Spirit Medical Center and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Fornadley was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.