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BONNIE JO FORMAN M.D.
NPI 1881640282
Family Medicine in Kingwood, WV

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
150 MEMORIAL DR, KINGWOOD, WV 26537(304) 329-1400(304) 329-6961 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bonnie Jo Forman M.d. NPPES

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

BONNIE JO FORMAN M.D. (NPI 1881640282) is an individual family medicine provider in Kingwood, West Virginia, licensed in West Virginia (19299) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia University School Of Medicine (1996).

NPPES Registry Identity

NPI1881640282
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBONNIE JO FORMANCredential: M.D.
Location Address150 MEMORIAL DRKingwood, WV 26537-1141
Mailing Address2287 S Mountaineer HwyThornton, WV 26440-7171 · (304) 265-6963 · Fax (304) 265-6961
Phone(304) 329-1400
Fax(304) 329-6961
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1996
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 29, 2021
NPPES CertifiedApril 29, 2021
✔ NPI 1881640282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 19299
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
150 MEMORIAL DR, Kingwood, WV 26537
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Other Identifiers 1

Medicaid0048169000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Bonnie Jo Forman 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 ID4183686165
PECOS Enrollment IDI20041102000236
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.

Hospital Affiliations CMS Care Compare 3

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26537 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers18 claims45 services$6.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims18 services$1.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers65 claims65 services$177.74 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.

PRESTON MEMORIAL HOSPITAL CORPORATION
General Acute Care Hospital (Critical Access)
150 MEMORIAL DR
KINGWOOD, WV 26537
Preston County (304) 329-1400
KASEY YOST RD, LD
Dietitian, Registered
150 MEMORIAL DR
KINGWOOD, WV 26537
Preston County (304) 329-1400
KEVIN MUSSELMAN PTA
Physical Therapy Assistant
150 MEMORIAL DR
KINGWOOD, WV 26537
Preston County (304) 329-3908
JENNIFER A PUMPHREY MD
Pediatrics
150 MEMORIAL DR
KINGWOOD, WV 26537
Preston County (304) 329-1400
KAYLIN MATHEWS FNP
Nurse Practitioner (Family)
150 MEMORIAL DR
KINGWOOD, WV 26537
Preston County (304) 329-4701
ELISE ROMAN OT
Occupational Therapist
150 MEMORIAL DR
KINGWOOD, WV 26537
Preston County (304) 329-3908
MS. KELSEY NICHOLE CLARK OTR/L
Occupational Therapist
150 MEMORIAL DR
KINGWOOD, WV 26537
Preston County (304) 329-1400
JULIE SMITH
Nurse Practitioner (Family)
150 MEMORIAL DR
KINGWOOD, WV 26537
Preston County (304) 329-1400

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 Bonnie Forman's NPI number?

The NPI number for Bonnie Forman is 1881640282. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Bonnie Forman located?

Bonnie Forman practices at 150 Memorial Dr, Kingwood, WV 26537. The listed phone number is (304) 329-1400.

What is Bonnie Forman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bonnie Forman enrolled in Medicare?

Yes. Bonnie 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 Bonnie Forman accept?

Health plans from CareSource list Bonnie 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 Bonnie Forman affiliated with any hospitals?

According to CMS data, Bonnie Forman is affiliated with West Virginia University Hospitals, Inc, Mon Health Medical Center and Preston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bonnie Forman was last updated on April 29, 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.