GABRIELLA FORMAN M.D.
NPI 1902484256
Family Medicine - Adult Medicine in Stamford, CT

Q: What is Gabriella Forman's NPI number?

The NPI number for Gabriella Forman is 1902484256. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Gabriella Forman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Gabriella Forman was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment

260 LONG RIDGE RD, STAMFORD, CT 06902(475) 619-6035 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, Mar 30, 2021 (2 updates tracked since 2021).

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About Gabriella Forman M.d. NPPES

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

GABRIELLA FORMAN M.D. (NPI 1902484256) is an individual adult medicine provider in Stamford, Connecticut, licensed in Connecticut (78900) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2021).

NPPES Registry Identity

NPI1902484256

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameGABRIELLA FORMANCredential: M.D.

Location Address260 LONG RIDGE RDStamford, CT 06902-1638

Mailing Address5 Perryridge RdGreenwich, CT 06830-4697 · (203) 863-3000

Phone(475) 619-6035

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2021

Enumeration DateMarch 30, 2021

Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1902484256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in CT · 78900

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

260 LONG RIDGE RD, Stamford, CT 06902

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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

Gabriella 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 ID42759136

PECOS Enrollment IDI20240904000119

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 2

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.

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.

29 services25 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.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06902 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

Other Providers at the Same Location NPPES 17

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

JENNIE MIRIAM SPIEGEL FNP-C

Nurse Practitioner (Family)