FORREST RACKHAM PSY.D
NPI 1972841484
Psychologist - Clinical in Rolla, MO

Q: What is Forrest Rackham's NPI number?

The NPI number for Forrest Rackham is 1972841484. It was assigned to this individual provider in the NPPES registry on January 18, 2013.

Q: What is Forrest Rackham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Forrest Rackham was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 18, 2013PECOS EnrolledAccepts Medicare Assignment

77.52/100

CMS Quality Rating

575B BLUES LAKE PKWY, ROLLA, MO 65401(573) 364-2007(573) 202-2402 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Mar 25, 2021, Aug 22, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Forrest Rackham Psy.d NPPES

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

FORREST RACKHAM PSY.D (NPI 1972841484) is an individual clinical provider in Rolla, Missouri, licensed in Missouri (2017010362) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1972841484

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameFORREST RACKHAMCredential: PSY.D

Location Address575B BLUES LAKE PKWYRolla, MO 65401-8587

Mailing Address575b Blues Lake PkwyRolla, MO 65401-8587 · (573) 364-2007 · Fax (573) 202-2402

Phone(573) 364-2007

Fax(573) 202-2402

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 18, 2013

Last NPPES UpdateOctober 9, 20254 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1972841484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MO · 2017010362✔ Licensed in VA · 0810004701

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

575B BLUES LAKE PKWY, Rolla, MO 65401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and more.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

Forrest Rackham Psy.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 ID3274857198

PECOS Enrollment IDI20150126001324, I20170712003870

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 65401 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

$161.24 typical visit price

range $52.28 – $161.24

Typical copayment $40.31 (range $13.07 – $40.31)

Most-billed visit code 99205

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

77.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.88

Promoting Interoperability

100

Improvement Activities

Cost

60.19

Other Providers at the Same Location NPPES 3

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

AISLINN C BOS LP, PSYD

Psychologist (Clinical)

575B BLUES LAKE PKWY
ROLLA, MO 65401

Phelps County (844) 853-8937

RANDEE JO FECO

Psychologist

575B BLUES LAKE PKWY
ROLLA, MO 65401

Phelps County (573) 364-2007

DR. MICHELLE M HILL DO

Psychiatry & Neurology (Psychiatry)

575B BLUES LAKE PKWY
ROLLA, MO 65401

Phelps County (573) 364-2007

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 Forrest Rackham's NPI number?

The NPI number for Forrest Rackham is 1972841484. It was assigned to this individual provider in the NPPES registry on January 18, 2013.

Where is Forrest Rackham located?

Forrest Rackham practices at 575B Blues Lake Pkwy, Rolla, MO 65401. The listed phone number is (573) 364-2007.

What is Forrest Rackham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Forrest Rackham enrolled in Medicare?

Yes. Forrest Rackham 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 Forrest Rackham accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and UnitedHealthcare list Forrest Rackham 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.

When was this NPI record last updated?

The NPPES record for Forrest Rackham was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.