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

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since May 26, 2006PECOS Enrolled

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: July 19, 2026.

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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.

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

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 (PECOS)

Bonnie Jo Forman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

Emergency Medicine