DONALD JOSEPH FORNACE DO FACC
NPI 1669494480
Internal Medicine - Cardiovascular Disease in Ormond Beach, FL

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1400 HAND AVE, SUITE H, ORMOND BEACH, FL 32174(386) 441-6636(386) 441-6680 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donald Joseph Fornace Do Facc NPPES

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

DONALD JOSEPH FORNACE DO FACC (NPI 1669494480) is an individual cardiovascular disease provider in Ormond Beach, Florida, licensed in Florida (OS5475) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of Philadelphia College Of Osteopathic Medicine (1983).

NPPES Registry Identity

NPI1669494480
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDONALD JOSEPH FORNACECredential: DO FACC
Location Address1400 HAND AVE, SUITE HOrmond Beach, FL 32174-8194
Mailing Address1400 Hand Ave, Suite HOrmond Beach, FL 32174-8194 · (386) 441-6636 · Fax (386) 441-6680
Fax(386) 441-6680
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1983
Enumeration DateJuly 24, 2006
Last NPPES UpdateNovember 19, 2013
NPI 1669494480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · OS5475
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1400 HAND AVE, Ormond Beach, FL 32174

Other Identifiers 3

Medicare ID-Type Unspecified80078FL
Medicaid048431800FL
Medicare UPINE31905

Accepted Insurance

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

Donald Joseph Fornace Do Facc 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 ID5496643553
PECOS Enrollment IDI20040309001201
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 16

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.
896 services367 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
385 services252 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
357 services332 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
255 services244 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
217 services70 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
177 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%187 patients
Controlling High Blood Pressure
83%854 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
72%383 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%4,507 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%785 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
93%1,497 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
5%1,410 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 28% · 1,202 patients
Patients screened: 28% · 1,202 patients
100%55 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
55%746 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 829 patients
Patients totalRate: 0% · 829 patients
0%829 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

Family Medicine
1400 HAND AVE, SUITE K
ORMOND BEACH, FL 32174
Technician (Attendant Care Provider)
1400 HAND AVE, SUITE P
ORMOND BEACH, FL 32174
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1400 HAND AVE, SUITE F
ORMOND BEACH, FL 32174
Pharmacy (Community/Retail Pharmacy)
1400 HAND AVE, STE O
ORMOND BEACH, FL 32174
Family Medicine (Adolescent Medicine)
1400 HAND AVE, SUITE K
ORMOND BEACH, FL 32174
Chiropractor
1400 HAND AVE, SUITE S
ORMOND BEACH, FL 32174
Chiropractor
1400 HAND AVE
ORMOND BEACH, FL 32174
Physical Therapist
1400 HAND AVE, SUITE Q
ORMOND BEACH, FL 32174

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 Donald Fornace's NPI number?

The NPI number for Donald Fornace is 1669494480. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Donald Fornace located?

Donald Fornace practices at 1400 Hand Ave Suite H, Ormond Beach, FL 32174. The listed phone number is (386) 441-6636.

What is Donald Fornace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Donald Fornace enrolled in Medicare?

Yes. Donald Fornace 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.

What insurance does Donald Fornace accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list Donald Fornace 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 Donald Fornace affiliated with any hospitals?

According to CMS data, Donald Fornace is affiliated with Adventhealth New Smyrna Beach, Halifax Health Medical Center, Adventhealth Deland, Adventhealth Daytona Beach and Florida Hospital Flagler.

When was this NPI record last updated?

The NPPES record for Donald Fornace was last updated on November 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.