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DR. MICHAEL ANDREW FORGIONE JR. MD
NPI 1992853741
Internal Medicine - Infectious Disease in Jbsa Lackland, TX

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
59.06/100
CMS Quality Rating
1100 WILFORD HALL LOOP BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236(210) 292-6225 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Andrew Forgione Jr. Md NPPES

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

DR. MICHAEL ANDREW FORGIONE JR. MD (NPI 1992853741) is an individual infectious disease provider in Jbsa Lackland, Texas, licensed in Pennsylvania (MD068734L) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1992853741
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MICHAEL ANDREW FORGIONE JR.Credential: MD
Location Address1100 WILFORD HALL LOOP BLDG 4554, ATTN: 59 MDW/SGHCJbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall Loop Bldg 4554, Attn: 59 Mdw/sghcJbsa Lackland, TX 78236-5638 · (210) 292-6225
Phone(210) 292-6225
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1996
Enumeration DateJanuary 8, 2007
Last NPPES UpdateApril 22, 2019
✔ NPI 1992853741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in PA · MD068734L
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236
Open in Google Maps ↗

Secondary Practice Location 1

Location 16900 Georgia Avenue NW, WRAMC Building 2, Room 2J38Washington, DC 20307-0001 · Phone (202) 782-7327

Other Identifiers 1

Other1992853741Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Michael Andrew Forgione Jr. Md 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 ID9739312778
PECOS Enrollment IDI20230710002427
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.
343 services91 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.
79 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services44 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.
40 services39 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.
22 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

59.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.53
Promoting Interoperability0
Improvement Activities40
Cost67.02

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. REGINA MARIA REINSVOLD M.D.
Anesthesiology
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Bexar County (210) 292-6255
ROBERT LEE LMFT
Marriage & Family Therapist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6255
DR. FINIANNE JIMENEZ UMALI-CORRY DO, MPH
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Bexar County (210) 292-4277
DAVID CHRISTOPHER MARI D.O.
Allergy & Immunology
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6255
DR. HANNAH GHONG-JU AHN MD
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-4482
MRS. CASSANDRA LANETTE DOUGLAS PHARMACIST
Pharmacist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (102) 292-1144
DR. CHARLES RICHARD ELCHERT JR. D.C.
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-3587
DR. LISA LEADER KOHLER OD
Optometrist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6255

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 Michael Forgione's NPI number?

The NPI number for Michael Forgione is 1992853741. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Michael Forgione located?

Michael Forgione practices at 1100 Wilford Hall Loop Bldg 4554 Attn: 59 Mdw/Sghc, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-6225.

What is Michael Forgione's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Michael Forgione enrolled in Medicare?

Yes. Michael Forgione 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 Michael Forgione accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Michael Forgione 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 Michael Forgione affiliated with any hospitals?

According to CMS data, Michael Forgione is affiliated with Baptist Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Michael Forgione was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.