Active NPI 1689972192 Individual Practitioner Male Practitioner

Micah J Forman , ARNP

Nurse Practitioner • Winter Park, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Micah Forman, ARNP is a certified Nurse Practitioner practicing in Winter Park, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Micah Forman delivers high-quality medical care to the local community at 4100 METRIC DR.

Micah Forman is affiliated with Pensacola Hospitalist Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4100 Metric Dr
Suite 200

Winter Park, FL 327926837

Telephone 4076818720

Fax 4076818729

Associated Practice Facility / Clinic

🏢 Total Renal Care Inc Facility NPI 1962640581

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Winter Park, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +3.9 yrs vs City Avg

City Avg: 12.1 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

45 Specialists

Practicing in Winter Park, FL (8990 Statewide)

Telehealth Adoption Rate

15.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Forman (16 Years) 16 Yrs

Winter Park Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	113	50	$741.10	$86.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	14	$512.49	$60.60
99238 Hospital discharge day management, 30 minutes or less	15	15	$515.00	$60.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	136	$200.00	$90.67
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	48	45	$26.00	$9.40
80053 Blood test, comprehensive group of blood chemicals	45	45	$47.00	$12.78
84550 Uric acid level, blood	40	40	$12.00	$5.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$315.00	$139.72
82570 Creatinine level to test for kidney function or muscle injury	33	33	$20.00	$6.26
84156 Total protein level, urine	33	33	$15.00	$4.44
83970 Parathormone (parathyroid hormone) level	27	27	$115.00	$49.94
82306 Vitamin d-3 level	25	25	$85.00	$35.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$275.00	$122.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	106	$200.00	$90.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$315.00	$138.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	21	$275.00	$121.95
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$135.00	$61.29
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	18	$26.00	$10.45
80053 Blood test, comprehensive group of blood chemicals	16	16	$47.00	$11.67
82570 Creatinine level to test for kidney function or muscle injury	16	16	$20.00	$6.96
84156 Total protein level, urine	16	16	$15.00	$4.93
84550 Uric acid level, blood	15	15	$12.00	$3.10

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9169904

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Pensacola Hospitalist Physicians Llc

123 Baptist Way, Pensacola, FL 325032254

Phone: 8504692313

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Alexandra Hardy , MD

Internal Medicine - Nephrology

NPI 1598391401

Doctor of Medicine (M.D.)

Jennifer Kelsey , ARNP

Nurse Practitioner

NPI 1740460930

Advanced Registered Nurse Practitioner

Dr. Mark Lagatta , MD

Internal Medicine - Nephrology

NPI 1821081985

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 08, 2011

Registered at 4100 METRIC DR, SUITE 200, WINTER PARK, FL 327926837 (Tel: 4076818720)

📍

Updated Business Mailing Address March 08, 2011

Registered at 807 S ORLANDO AVE, SUITE C, WINTER PARK, FL 327894870 (Tel: 4078944693)

👤

Provider Name / Credentials Updated March 08, 2011

Recorded as MICAH FORMAN, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2011

Nurse Practitioner (License #ARNP9169904 in FL)

🟢

Initial NPI Registration & Enumeration March 08, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689972192

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 08, 2011

Last Update: March 08, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

807 S Orlando Ave, Suite C

Winter Park, FL 327894870

Phone: 4078944693

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.