THERESA VICTORIA FORTY D.O.
NPI 1982022976
Emergency Medicine in Salem, VA

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
89.3/100
CMS Quality Rating
1900 ELECTRIC RD, SALEM, VA 24153(540) 776-4000 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Victoria Forty D.o. NPPES

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

THERESA VICTORIA FORTY D.O. (NPI 1982022976) is an individual emergency medicine provider in Salem, Virginia, licensed in Virginia (0102205314) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1982022976
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTHERESA VICTORIA FORTYCredential: D.O.
Location Address1900 ELECTRIC RDSalem, VA 24153
Mailing Address11885 E 12 Mile Rd Ste 300aWarren, MI 48093-3467 · (586) 582-6630 · Fax (586) 582-6631
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2014
Enumeration DateApril 7, 2014
Last NPPES UpdateJune 19, 2018
NPI 1982022976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in VA · 0102205314
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101020889 (MI)
1900 ELECTRIC RD, Salem, VA 24153

Secondary Practice Location 1

Location 111885 E 12 Mile Rd Ste 300AWarren, MI 48093-3467 · Phone (586) 582-6630 · Fax (586) 582-6631

Accepted 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

Theresa Victoria Forty D.o. 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 ID2163729658
PECOS Enrollment IDI20180814000887
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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
347 services330 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
341 services331 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
110 services109 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
63 services62 patients

Hospital Affiliations CMS Care Compare

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

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

89.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.55
Improvement Activities40
Cost100

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.

Radiology (Vascular & Interventional Radiology)
1900 ELECTRIC RD
SALEM, VA 24153
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Surgery (Trauma Surgery)
1900 ELECTRIC RD
SALEM, VA 24153
Anesthesiology
1900 ELECTRIC RD, ANESTHESIA DEPARTMENT
SALEM, VA 24153
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1900 ELECTRIC RD
SALEM, VA 24153
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Nurse Anesthetist, Certified Registered
1900 ELECTRIC RD
SALEM, VA 24153

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 Theresa Forty's NPI number?

The NPI number for Theresa Forty is 1982022976. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Theresa Forty located?

Theresa Forty practices at 1900 Electric Rd, Salem, VA 24153. The listed phone number is (540) 776-4000.

What is Theresa Forty's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theresa Forty enrolled in Medicare?

Yes. Theresa Forty 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 Theresa Forty accept?

Health plans from CareSource and Oscar Insurance Company list Theresa Forty 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 Theresa Forty affiliated with any hospitals?

According to CMS data, Theresa Forty is affiliated with Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Forty was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.