DAVID J FOREMAN M.D.
NPI 1730158320
Otolaryngology in Lafayette, LA

Active since March 16, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 19D2019089 · Waiver
86.65/100
CMS Quality Rating
1039 CAMELLIA BLVD, LAFAYETTE, LA 70508(337) 993-1335(337) 993-1339 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David J Foreman M.d. NPPES

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

DAVID J FOREMAN M.D. (NPI 1730158320) is an individual otolaryngology provider in Lafayette, Louisiana, licensed in Louisiana (017676) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 20, 2027, and is affiliated with Our Lady Of Lourdes Regional Medical Center, Inc.

NPPES Registry Identity

NPI1730158320
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDAVID J FOREMANCredential: M.D.
Location Address1039 CAMELLIA BLVDLafayette, LA 70508-6679
Mailing Address1000 W Pinhook Rd Ste 201Lafayette, LA 70503-2464 · (337) 237-0650 · Fax (888) 990-2781
Fax(337) 993-1339
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1984
Enumeration DateMarch 16, 2006
Last NPPES UpdateMay 11, 2021
NPPES CertifiedMay 11, 2021
NPI 1730158320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in LA · 017676
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1039 CAMELLIA BLVD, Lafayette, LA 70508

Other Identifiers 1

Medicaid1399205LA

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

David J Foreman M.d. 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 ID8527056159
PECOS Enrollment IDI20060127000536
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2019089

David J Foreman, MD · Lafayette, LA
Active · expires Jan 20, 2027
CLIA Number19D2019089
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorDavid J. Foreman
Laboratory Phone(337) 237-0650
Laboratory LocationDavid J Foreman, MD1039 Camellia Blvd, Lafayette, LA 70508
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 35

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.

Measurement of antibody (ige) to allergic substance, crude allergen extract, each 86003
This procedure measures the level of IgE antibodies in your blood that react to a specific allergen. It's done using a crude allergen extract. The test helps determine your sensitivity to certain allergens, aiding in diagnosis and treatment of allergies.
2,470 services50 patients
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.
729 services449 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.
614 services384 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
400 services252 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
350 services13 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
263 services198 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190102
Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County
Emergency services Birthing friendly

Lafayette Surgical Specialty Hospital

Acute Care Hospitals · Lafayette, LA
OwnershipPhysician
CMS Certification Number190259
Location1101 Kaliste Saloom RdLafayette, LA 70508 · Lafayette County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

86.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.37
Promoting Interoperability97
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier16 claims16 services$89.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier14 claims39 services$33.60 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers13 claims13 services$54.75 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers15 claims15 services$17.96 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers32 claims32 services$14.57 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers32 claims151 services$2.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Otolaryngology
1039 CAMELLIA BLVD
LAFAYETTE, LA 70508
Audiologist
1039 CAMELLIA BLVD
LAFAYETTE, LA 70508
Physician Assistant
1039 CAMELLIA BLVD
LAFAYETTE, LA 70508

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 David Foreman's NPI number?

The NPI number for David Foreman is 1730158320. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is David Foreman located?

David Foreman practices at 1039 Camellia Blvd, Lafayette, LA 70508. The listed phone number is (337) 993-1335.

What is David Foreman's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is David Foreman enrolled in Medicare?

Yes. David Foreman 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.

Does David Foreman hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2019089) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does David Foreman accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list David Foreman 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 David Foreman affiliated with any hospitals?

According to CMS data, David Foreman is affiliated with Our Lady Of Lourdes Regional Medical Center, Inc and Lafayette Surgical Specialty Hospital.

When was this NPI record last updated?

The NPPES record for David Foreman was last updated on May 11, 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.