MAKENZI FORMAN PA-C
NPI 1780229948
Physician Assistant in Seguin, TX

Active since November 12, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1215 E COURT ST, SEGUIN, TX 78155(830) 379-2411 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Nov 12, 2019 (2 updates tracked since 2019).

About Makenzi Forman Pa-c NPPES

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

MAKENZI FORMAN PA-C (NPI 1780229948) is an individual physician assistant in Seguin, Texas, licensed in Texas (PA13222) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1780229948
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAKENZI FORMANCredential: PA-C
Location Address1215 E COURT STSeguin, TX 78155-5129
Mailing Address2123 Mill VlySeguin, TX 78155-9491 · (830) 237-4623
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 12, 2019
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
NPI 1780229948 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 TX · PA13222
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.
1215 E COURT ST, Seguin, TX 78155

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

Makenzi 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 ID5092141382
PECOS Enrollment IDI20200205000476
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 7

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
127 services122 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.
126 services82 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
73 services71 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
45 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services27 patients
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235
This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78155 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$14.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$63.82 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 20

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

Occupational Therapy Assistant
1215 E COURT ST
SEGUIN, TX 78155
Physician Assistant
1215 E COURT ST
SEGUIN, TX 78155
Nurse Practitioner
1215 E COURT ST
SEGUIN, TX 78155
Pharmacy (Institutional Pharmacy)
1215 E COURT ST
SEGUIN, TX 78155
Nurse Practitioner (Acute Care)
1215 E COURT ST
SEGUIN, TX 78155
Pharmacist
1215 E COURT ST
SEGUIN, TX 78155
Nurse Practitioner (Acute Care)
1215 E COURT ST
SEGUIN, TX 78155
Emergency Medicine (Emergency Medical Services)
1215 E COURT ST
SEGUIN, TX 78155

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 Makenzi Forman's NPI number?

The NPI number for Makenzi Forman is 1780229948. It was assigned to this individual provider in the NPPES registry on November 12, 2019.

Where is Makenzi Forman located?

Makenzi Forman practices at 1215 E Court St, Seguin, TX 78155. The listed phone number is (830) 379-2411.

What is Makenzi Forman's specialty?

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

Is Makenzi Forman enrolled in Medicare?

Yes. Makenzi 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.

What insurance does Makenzi Forman accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Makenzi Forman 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 Makenzi Forman affiliated with any hospitals?

According to CMS data, Makenzi Forman is affiliated with Guadalupe Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Makenzi Forman was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.