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PETER FORMAN PA-C
NPI 1669084547
Physician Assistant in Brooklyn, NY

Active since August 20, 2020PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
86 SAINT FELIX ST, BROOKLYN, NY 11217(347) 529-4936 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Forman Pa-c NPPES

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

PETER FORMAN PA-C (NPI 1669084547) is an individual physician assistant in Brooklyn, New York, licensed in New York (025004) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669084547
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePETER FORMANCredential: PA-C
Location Address86 SAINT FELIX STBrooklyn, NY 11217-3032
Mailing Address497 Henry St Apt 3Brooklyn, NY 11231-3018 · (571) 344-2480
Phone(347) 529-4936
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1669084547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 025004
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
86 SAINT FELIX ST, Brooklyn, NY 11217
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Forman Pa-c 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.

PECOS PAC ID4587084777
PECOS Enrollment IDI20201008001504
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services39 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11217 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

MR. JUSTIN DEMETRIUS PA
Physician Assistant
86 SAINT FELIX ST
BROOKLYN, NY 11217
Kings County (718) 250-6880
TBHC PHYSICIAN SERVICES PC
Surgery
86 SAINT FELIX ST
BROOKLYN, NY 11217
Kings County (718) 250-6813
SKYLAR HOSTETLER MS, RD, CDN
Dietitian, Registered (Nutrition, Obesity and Weight Management)
86 SAINT FELIX ST
BROOKLYN, NY 11217
Kings County (718) 250-8981

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 Peter Forman's NPI number?

The NPI number for Peter Forman is 1669084547. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Peter Forman located?

Peter Forman practices at 86 Saint Felix St, Brooklyn, NY 11217. The listed phone number is (347) 529-4936.

What is Peter Forman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Peter Forman enrolled in Medicare?

Yes. Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Forman was last updated on August 20, 2020. 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.