1. Home
  2. Directory
  3. Ohio
  4. Columbus
  5. Internal Medicine
  6. NPI Profile

DR. WILLIAM JOSEPH FORTON M.D.
NPI 1902067853
Internal Medicine in Columbus, OH

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
1654 UPHAM DR, 202 MEANS HALL, COLUMBUS, OH 43210(614) 293-4919 Get Directions Write a Review

NPPES record last updated: June 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William Joseph Forton M.d. NPPES

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

DR. WILLIAM JOSEPH FORTON M.D. (NPI 1902067853) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35.096220) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2008).

NPPES Registry Identity

NPI1902067853
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WILLIAM JOSEPH FORTONCredential: M.D.
Location Address1654 UPHAM DR, 202 MEANS HALLColumbus, OH 43210-1250
Mailing Address1654 Upham Dr, 202 Means HallColumbus, OH 43210-1250
Phone(614) 293-4919
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2008
Enumeration DateJune 23, 2008
Last NPPES UpdateJune 19, 2011
✔ NPI 1902067853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.096220
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1654 UPHAM DR, Columbus, OH 43210
Open in Google Maps ↗

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

Dr. William Joseph Forton 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 ID7810167020
PECOS Enrollment IDI20110825000669
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 5

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.

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.
296 services116 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.
159 services87 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.
136 services134 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services58 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%204 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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier31 claims31 services$14.56 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$41.42 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
1 supplier40 claims40 services$64.10 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.

DR. NICHOLAS ADAM PERCHINIAK M.D.
Emergency Medicine
1654 UPHAM DR, 167 MEANS HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
DR. CREAGH TURNER BOULGER M.D.
Emergency Medicine
1654 UPHAM DR, 167 MEANS HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
DR. ERIKA CHARLOTTE KUBE M.D.
Emergency Medicine
1654 UPHAM DR, 167 MEANS HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
DR. ASHISH RAMAN PANCHAL M.D., PH.D.
Emergency Medicine
1654 UPHAM DR, 167 MEANS HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
DR. MATTHEW MICHAEL ROBERTS M.D.
Emergency Medicine
1654 UPHAM DR, 167 MEANS HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
DR. BRYAN P MACWILLIAMS M.D.
Emergency Medicine (Emergency Medical Services)
1654 UPHAM DR, 169 MEANS HALL
COLUMBUS, OH 43210
Franklin County (614) 293-8176
OHIO STATE UNIVERSITY HOSPITAL
General Acute Care Hospital
1654 UPHAM DR, 430 MEANS HALL
COLUMBUS, OH 43210
Franklin County (614) 293-6872
DR. CARLA MARIE RALSTON MD
Emergency Medicine
1654 UPHAM DR, 167 MEANS HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551

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 William Forton's NPI number?

The NPI number for William Forton is 1902067853. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is William Forton located?

William Forton practices at 1654 Upham Dr 202 Means Hall, Columbus, OH 43210. The listed phone number is (614) 293-4919.

What is William Forton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is William Forton enrolled in Medicare?

Yes. William Forton 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 William Forton accept?

Health plans from CareSource list William Forton 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 William Forton affiliated with any hospitals?

According to CMS data, William Forton is affiliated with Mercy Health-Anderson Hospital.

When was this NPI record last updated?

The NPPES record for William Forton was last updated on June 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.