Active NPI 1386641785 Individual Practitioner Male Practitioner

Dr. Jonathan S. Forman , MD

Internal Medicine • Dedham, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Forman, MD is a certified Internal Medicine practicing in Dedham, MA. With approximately 49 years of clinical experience since graduating from Boston University School Of Medicine in 1977, Dr. Forman delivers high-quality medical care to the local community at 1 LYONS ST.

Dr. Forman is affiliated with Atrius Health Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, blood test, lipids (cholesterol and triglycerides). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Lyons St

Dedham, MA 020265599

Telephone 7814933570

Fax 7813260221

Associated Practice Facility / Clinic

🏢 Dedham Medical Associates Inc Facility NPI 1265430094

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dedham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +10.9 yrs vs City Avg

City Avg: 38.1 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

25 Specialists

Practicing in Dedham, MA (7127 Statewide)

Telehealth Adoption Rate

60.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Forman (49 Years) 49 Yrs

Dedham Specialty Average (38.1 Years) 38.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	840	380	$20.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	513	272	$349.52	$95.25
80061 Blood test, lipids (cholesterol and triglycerides)	347	321	$67.00	$13.12
83036 Hemoglobin A1C level	333	243	$39.00	$9.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	254	254	$363.00	$54.00
82565 Blood creatinine level	206	183	$21.00	$5.02
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	199	158	$26.00	$6.34
80048 Blood test, basic group of blood chemicals (calcium, total)	145	90	$34.00	$8.29
85610 Blood test, clotting time	144	16	$16.00	$4.20
84443 Blood test, thyroid stimulating hormone (TSH)	124	104	$68.00	$16.46
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	120	90	$48.00	$17.34
82570 Creatinine level to test for kidney function or muscle injury	108	104	$21.00	$5.08
82043 Urine microalbumin (protein) level	101	98	$23.00	$5.66
91320 Sarscv2 vac 30mcg trs-suc im	98	92	$161.22	$135.75
90480 Admn sarscov2 vacc 1 dose	98	92	$70.00	$47.07
G0103 Prostate cancer screening; prostate specific antigen test (psa)	93	93	$61.00	$18.92
84132 Blood potassium level	85	84	$19.00	$4.66
99213 Established patient office or other outpatient visit, typically 15 minutes	77	68	$268.65	$70.11
82607 Cyanocobalamin (vitamin B-12) level	76	71	$61.00	$14.78
G0008 Administration of influenza virus vaccine	72	71	$70.00	$35.30
84466 Transferrin (iron binding protein) level	61	49	$52.00	$12.50
90653 Vaccine for influenza for injection into muscle	61	61	$135.90	$81.82
83540 Iron level	61	49	$26.00	$6.34
84295 Blood sodium level	57	57	$19.00	$4.70
80053 Blood test, comprehensive group of blood chemicals	53	43	$43.00	$10.35
84153 Psa (prostate specific antigen) measurement, total	53	53	$74.00	$17.78
84550 Uric acid level, blood	49	47	$18.00	$4.43
82306 Vitamin d-3 level	48	47	$119.00	$29.01
87086 Bacterial colony count, urine	47	33	$33.00	$7.91
84460 Liver enzyme (sgpt), level	46	46	$21.00	$5.19
83970 Parathormone (parathyroid hormone) level	35	33	$166.00	$39.99
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	31	$31.00	$7.61
82310 Calcium level, total	31	27	$21.00	$5.06
81003 Automated urinalysis test	29	28	$9.00	$2.20
84520 Urea nitrogen level to assess kidney function	28	28	$16.00	$3.87
82728 Ferritin (blood protein) level	28	21	$55.00	$13.36
86704 Hepatitis b core antibody measurement	28	27	$49.00	$11.81
87077 Bacterial culture for aerobic isolates	28	17	$33.00	$7.92
86706 Hepatitis b surface antibody measurement	27	26	$43.00	$10.53
87340 Detection test for Hepatitis B surface antigen	27	26	$42.00	$10.12
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	27	17	$35.00	$8.48
82746 Folic acid level	27	26	$59.00	$14.41
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	27	27	$28.00	$6.87
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$458.00	$81.81
85045 Red blood count, automated test	24	24	$16.00	$3.91
84100 Phosphate level	23	23	$19.00	$4.65
84439 Thyroxine (thyroid chemical), free	22	14	$36.00	$8.84
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	21	21	$64.00	$15.60
G0009 Administration of pneumococcal vaccine	21	21	$70.00	$35.30
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$652.00	$289.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$529.00	$133.98
82947 Blood glucose (sugar) level	20	19	$16.00	$3.85
84155 Total protein level, blood	17	17	$15.00	$3.60
99496 Transitional care management services for problem of high complexity	16	14	$774.00	$131.84
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$444.00	$162.52
82040 Albumin (protein) level	14	14	$20.00	$4.85
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	13	$106.00	$34.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$170.23	$32.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	761	388	$17.30	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	472	306	$346.00	$95.62
80061 Blood test, lipids (cholesterol and triglycerides)	360	333	$67.00	$13.12
83036 Hemoglobin A1C level	280	209	$39.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	235	235	$363.00	$52.69
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	203	173	$26.00	$6.34
82565 Blood creatinine level	201	175	$21.00	$5.02
85610 Blood test, clotting time	125	17	$16.00	$4.20
84443 Blood test, thyroid stimulating hormone (TSH)	123	94	$68.00	$16.46
80048 Blood test, basic group of blood chemicals (calcium, total)	113	82	$34.00	$8.29
82570 Creatinine level to test for kidney function or muscle injury	108	101	$21.00	$5.08
82043 Urine microalbumin (protein) level	101	96	$23.00	$5.66
G0103 Prostate cancer screening; prostate specific antigen test (psa)	92	92	$61.00	$18.92
99213 Established patient office or other outpatient visit, typically 15 minutes	92	89	$264.41	$64.27
84132 Blood potassium level	84	84	$19.00	$4.66
84295 Blood sodium level	56	56	$19.00	$4.71
82306 Vitamin d-3 level	54	51	$119.00	$29.01
G0008 Administration of influenza virus vaccine	54	54	$69.39	$33.84
87086 Bacterial colony count, urine	53	38	$33.00	$7.91
81003 Automated urinalysis test	52	41	$9.00	$2.20
80053 Blood test, comprehensive group of blood chemicals	52	51	$43.00	$10.35
84460 Liver enzyme (sgpt), level	52	51	$21.00	$5.19
84550 Uric acid level, blood	51	45	$18.00	$4.43
0124A Fee covid-19 vac 13 res	50	50	$90.00	$45.13
86704 Hepatitis b core antibody measurement	49	49	$49.00	$11.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	49	49	$458.00	$63.78
86706 Hepatitis b surface antibody measurement	49	49	$43.00	$10.53
87340 Detection test for Hepatitis B surface antigen	48	48	$42.00	$10.12
82607 Cyanocobalamin (vitamin B-12) level	47	43	$61.00	$14.78
83540 Iron level	41	34	$26.00	$6.34
84466 Transferrin (iron binding protein) level	41	34	$52.00	$12.50
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	39	39	$148.00	$75.81
84439 Thyroxine (thyroid chemical), free	33	22	$36.00	$8.84
84153 Psa (prostate specific antigen) measurement, total	31	30	$74.00	$18.02
82947 Blood glucose (sugar) level	29	28	$16.00	$3.85
G0009 Administration of pneumococcal vaccine	28	28	$67.64	$33.84
84520 Urea nitrogen level to assess kidney function	26	26	$16.00	$3.87
83970 Parathormone (parathyroid hormone) level	25	24	$166.00	$40.45
82310 Calcium level, total	24	24	$21.00	$5.06
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	23	23	$28.00	$6.87
87077 Bacterial culture for aerobic isolates	22	15	$33.00	$7.92
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$652.00	$280.25
84100 Phosphate level	21	21	$19.00	$4.65
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	21	15	$35.00	$8.48
84155 Total protein level, blood	20	19	$15.00	$3.60
90480 Admn sarscov2 vacc 1 dose	19	19	$70.00	$45.13
91320 Sarscv2 vac 30mcg trs-suc im	19	19	$144.00	$128.48
82746 Folic acid level	15	15	$59.00	$14.41
85045 Red blood count, automated test	15	15	$16.00	$3.91
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$444.00	$149.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$519.33	$106.72
G0102 Prostate cancer screening; digital rectal examination	11	11	$60.00	$26.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	623	330	$12.00	$2.97
80061 Blood test, lipids (cholesterol and triglycerides)	277	265	$67.00	$13.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	187	$346.00	$97.70
83036 Hemoglobin A1C level	242	180	$39.00	$9.57
82565 Blood creatinine level	201	178	$21.00	$5.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$363.00	$53.96
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	174	148	$26.00	$6.41
99213 Established patient office or other outpatient visit, typically 15 minutes	122	114	$238.00	$83.64
85610 Blood test, clotting time	114	12	$16.00	$4.23
82570 Creatinine level to test for kidney function or muscle injury	110	106	$21.00	$5.13
82043 Urine microalbumin (protein) level	108	105	$23.00	$5.72
80048 Blood test, basic group of blood chemicals (calcium, total)	93	68	$34.00	$8.40
84443 Blood test, thyroid stimulating hormone (TSH)	90	77	$68.00	$16.62
84132 Blood potassium level	88	88	$19.00	$4.71
82306 Vitamin d-3 level	76	70	$119.00	$29.31
84295 Blood sodium level	55	55	$19.00	$4.76
81003 Automated urinalysis test	54	49	$9.00	$2.23
84466 Transferrin (iron binding protein) level	51	40	$52.00	$12.64
83540 Iron level	50	39	$26.00	$6.41
G0103 Prostate cancer screening; prostate specific antigen test (psa)	48	48	$61.00	$19.14
82607 Cyanocobalamin (vitamin B-12) level	46	43	$61.00	$14.94
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	41	38	$209.00	$74.36
84550 Uric acid level, blood	41	40	$18.00	$4.48
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	41	38	$30.00	$24.79
84460 Liver enzyme (sgpt), level	40	40	$21.00	$5.23
83970 Parathormone (parathyroid hormone) level	40	39	$166.00	$40.97
84520 Urea nitrogen level to assess kidney function	35	35	$16.00	$3.90
87086 Bacterial colony count, urine	35	31	$33.00	$7.98
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	35	35	$28.00	$6.93
82310 Calcium level, total	33	32	$21.00	$5.11
84155 Total protein level, blood	32	32	$15.00	$3.64
90662 Influenza vaccine split virus, preservative free	30	28	$148.33	$67.45
84100 Phosphate level	30	29	$19.00	$4.70
G0008 Administration of influenza virus vaccine	30	28	$67.00	$33.91
80053 Blood test, comprehensive group of blood chemicals	29	29	$43.00	$10.46
84153 Psa (prostate specific antigen) measurement, total	27	25	$74.00	$18.21
82040 Albumin (protein) level	26	26	$20.00	$4.91
84439 Thyroxine (thyroid chemical), free	21	16	$36.00	$8.91
82947 Blood glucose (sugar) level	19	19	$16.00	$3.89
82746 Folic acid level	18	17	$59.00	$14.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$471.00	$128.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	15	15	$31.00	$7.70
85045 Red blood count, automated test	15	14	$16.00	$3.95
87077 Bacterial culture for aerobic isolates	14	12	$33.00	$7.97
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	13	11	$35.00	$8.53
G0009 Administration of pneumococcal vaccine	12	12	$67.00	$34.08
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$280.00	$132.36
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$458.00	$83.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	909	398	$12.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	211	$318.45	$143.27
80061 Blood test, lipids (cholesterol and triglycerides)	355	336	$67.00	$13.39
83036 Hemoglobin A1C level	327	218	$39.00	$9.71
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	324	220	$26.00	$6.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	274	274	$336.89	$148.81
99213 Established patient office or other outpatient visit, typically 15 minutes	260	203	$222.77	$102.99
80048 Blood test, basic group of blood chemicals (calcium, total)	222	138	$34.00	$8.43
82565 Blood creatinine level	219	187	$21.00	$5.12
85610 Blood test, clotting time	149	16	$16.00	$4.29
82570 Creatinine level to test for kidney function or muscle injury	146	134	$21.00	$5.18
82043 Urine microalbumin (protein) level	135	129	$23.00	$5.78
84443 Blood test, thyroid stimulating hormone (TSH)	124	102	$68.00	$16.80
82306 Vitamin d-3 level	123	113	$119.00	$29.60
G0008 Administration of influenza virus vaccine	102	102	$67.00	$19.52
82728 Ferritin (blood protein) level	101	65	$55.00	$13.63
83540 Iron level	100	64	$26.00	$6.47
84466 Transferrin (iron binding protein) level	98	64	$52.00	$12.76
90662 Influenza vaccine split virus, preservative free	97	97	$139.80	$65.13
83970 Parathormone (parathyroid hormone) level	94	91	$166.00	$41.28
82607 Cyanocobalamin (vitamin B-12) level	92	86	$61.00	$15.08
84132 Blood potassium level	87	86	$19.00	$4.76
81003 Automated urinalysis test	77	65	$9.00	$2.25
84100 Phosphate level	76	73	$19.00	$4.74
84550 Uric acid level, blood	69	50	$18.00	$4.52
82310 Calcium level, total	65	65	$21.00	$5.16
G0103 Prostate cancer screening; prostate specific antigen test (psa)	65	65	$61.00	$19.31
80053 Blood test, comprehensive group of blood chemicals	59	58	$43.00	$10.56
84295 Blood sodium level	58	58	$19.00	$4.81
84460 Liver enzyme (sgpt), level	55	55	$21.00	$5.30
82040 Albumin (protein) level	54	54	$20.00	$4.95
86803 Hepatitis c antibody measurement	44	44	$58.00	$14.27
85045 Red blood count, automated test	42	40	$16.00	$3.99
82746 Folic acid level	42	39	$59.00	$14.70
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	38	38	$28.00	$7.01
84520 Urea nitrogen level to assess kidney function	37	37	$16.00	$3.95
87086 Bacterial colony count, urine	36	31	$33.00	$8.07
84155 Total protein level, blood	36	35	$15.00	$3.67
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	35	33	$31.00	$7.77
82947 Blood glucose (sugar) level	35	35	$16.00	$3.93
84153 Psa (prostate specific antigen) measurement, total	32	32	$74.00	$18.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$135.00	$64.03
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	29	26	$209.00	$75.00
G0009 Administration of pneumococcal vaccine	29	29	$67.00	$19.44
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	29	26	$30.00	$25.00
G0102 Prostate cancer screening; digital rectal examination	28	28	$60.00	$26.61
84439 Thyroxine (thyroid chemical), free	28	19	$36.00	$9.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$260.50	$125.17
99496 Transitional care management services for problem of high complexity	18	17	$621.94	$315.49
87077 Bacterial culture for aerobic isolates	16	11	$33.00	$8.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$429.94	$202.68
99495 Transitional care management services for problem of at least moderate complexity	15	14	$522.00	$233.10
83735 Magnesium level	14	12	$27.00	$6.70
80069 Kidney function blood test panel	12	12	$35.00	$8.68
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	12	12	$104.00	$46.35
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$444.00	$188.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	765	352	$12.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	317	209	$300.00	$121.73
80061 Blood test, lipids (cholesterol and triglycerides)	297	282	$67.00	$13.33
99213 Established patient office or other outpatient visit, typically 15 minutes	273	189	$202.00	$84.24
83036 Hemoglobin A1C level	256	190	$39.00	$9.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	231	231	$310.00	$130.22
85610 Blood test, clotting time	220	19	$16.00	$4.25
80048 Blood test, basic group of blood chemicals (calcium, total)	204	131	$34.00	$8.42
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	200	164	$26.00	$6.44
82565 Blood creatinine level	135	128	$21.00	$5.09
82570 Creatinine level to test for kidney function or muscle injury	103	101	$21.00	$5.16
82043 Urine microalbumin (protein) level	101	99	$23.00	$5.75
84443 Blood test, thyroid stimulating hormone (TSH)	95	76	$68.00	$16.73
G0008 Administration of influenza virus vaccine	92	91	$67.00	$18.98
90662 Influenza vaccine split virus, preservative free	85	84	$120.89	$60.19
81003 Automated urinalysis test	81	69	$9.00	$2.24
99442 Telephone medical discussion with physician, 11-20 minutes	78	67	$101.23	$84.08
82306 Vitamin d-3 level	69	66	$119.00	$29.46
99443 Telephone medical discussion with physician, 21-30 minutes	63	52	$146.05	$121.10
82607 Cyanocobalamin (vitamin B-12) level	60	54	$61.00	$15.02
80053 Blood test, comprehensive group of blood chemicals	59	49	$43.00	$10.50
82728 Ferritin (blood protein) level	58	39	$55.00	$13.57
84466 Transferrin (iron binding protein) level	55	35	$52.00	$12.73
84132 Blood potassium level	55	55	$19.00	$4.73
83540 Iron level	55	35	$26.00	$6.45
83970 Parathormone (parathyroid hormone) level	52	52	$166.00	$41.09
G0103 Prostate cancer screening; prostate specific antigen test (psa)	49	49	$61.00	$19.17
82310 Calcium level, total	47	47	$21.00	$5.13
84100 Phosphate level	46	45	$19.00	$4.72
87086 Bacterial colony count, urine	43	37	$33.00	$8.02
84295 Blood sodium level	39	39	$19.00	$4.78
84550 Uric acid level, blood	38	38	$18.00	$4.49
82040 Albumin (protein) level	36	36	$20.00	$4.92
G0009 Administration of pneumococcal vaccine	33	33	$67.00	$18.93
84439 Thyroxine (thyroid chemical), free	32	21	$36.00	$8.95
84153 Psa (prostate specific antigen) measurement, total	31	31	$74.00	$18.27
99496 Transitional care management services for problem of high complexity	31	23	$613.00	$275.30
84460 Liver enzyme (sgpt), level	28	28	$21.00	$5.28
84520 Urea nitrogen level to assess kidney function	28	28	$16.00	$3.93
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	27	27	$28.00	$6.98
82746 Folic acid level	26	23	$59.00	$14.63
G0102 Prostate cancer screening; digital rectal examination	26	26	$60.00	$26.44
84155 Total protein level, blood	25	24	$15.00	$3.66
85045 Red blood count, automated test	24	20	$16.00	$3.97
86803 Hepatitis c antibody measurement	22	22	$58.00	$14.27
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	20	$31.00	$7.74
82947 Blood glucose (sugar) level	20	20	$16.00	$3.90
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	20	17	$209.00	$100.00
99441 Telephone medical discussion with physician, 5-10 minutes	19	17	$63.00	$51.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$398.00	$163.00
87077 Bacterial culture for aerobic isolates	17	15	$33.00	$8.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$244.00	$117.57
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	16	15	$35.00	$8.62
90670 Pneumococcal vaccine for injection into muscle	16	16	$474.00	$225.19
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$444.00	$186.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	943	384	$12.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	507	275	$297.00	$119.56
80061 Blood test, lipids (cholesterol and triglycerides)	365	334	$67.00	$14.58
85610 Blood test, clotting time	320	27	$16.00	$4.28
99213 Established patient office or other outpatient visit, typically 15 minutes	313	214	$202.00	$81.89
83036 Hemoglobin A1C level	290	204	$39.00	$10.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	206	206	$310.00	$128.43
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	195	160	$26.00	$7.04
82565 Blood creatinine level	173	164	$21.00	$5.58
80048 Blood test, basic group of blood chemicals (calcium, total)	173	122	$34.00	$9.21
G0008 Administration of influenza virus vaccine	164	163	$67.00	$18.64
90662 Influenza vaccine split virus, preservative free	145	144	$100.00	$54.78
82043 Urine microalbumin (protein) level	127	122	$23.00	$6.29
82570 Creatinine level to test for kidney function or muscle injury	126	122	$21.00	$5.63
84443 Blood test, thyroid stimulating hormone (TSH)	117	84	$68.00	$18.30
82306 Vitamin d-3 level	103	93	$119.00	$32.23
81003 Automated urinalysis test	91	74	$9.00	$2.44
83970 Parathormone (parathyroid hormone) level	76	76	$166.00	$44.94
84132 Blood potassium level	74	72	$19.00	$5.01
G0103 Prostate cancer screening; prostate specific antigen test (psa)	72	72	$61.00	$20.03
82310 Calcium level, total	68	67	$21.00	$5.62
84100 Phosphate level	67	67	$19.00	$5.16
82040 Albumin (protein) level	57	57	$20.00	$5.39
80053 Blood test, comprehensive group of blood chemicals	56	53	$43.00	$11.51
84295 Blood sodium level	56	56	$19.00	$5.24
87086 Bacterial colony count, urine	55	41	$33.00	$8.79
82947 Blood glucose (sugar) level	49	47	$16.00	$4.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	47	47	$458.00	$188.35
82728 Ferritin (blood protein) level	46	39	$55.00	$14.85
G0102 Prostate cancer screening; digital rectal examination	44	44	$60.00	$25.49
84439 Thyroxine (thyroid chemical), free	43	26	$36.00	$9.82
82607 Cyanocobalamin (vitamin B-12) level	43	41	$61.00	$16.41
84153 Psa (prostate specific antigen) measurement, total	41	40	$74.00	$20.03
84466 Transferrin (iron binding protein) level	40	35	$52.00	$13.90
84550 Uric acid level, blood	40	40	$18.00	$4.92
83540 Iron level	40	35	$26.00	$7.05
84460 Liver enzyme (sgpt), level	39	38	$21.00	$5.77
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	38	38	$31.00	$8.46
G0009 Administration of pneumococcal vaccine	38	38	$67.00	$18.65
84520 Urea nitrogen level to assess kidney function	35	35	$16.00	$4.30
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	34	34	$28.00	$7.63
99496 Transitional care management services for problem of high complexity	29	24	$613.00	$248.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$244.00	$110.22
87077 Bacterial culture for aerobic isolates	25	18	$33.00	$8.79
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	22	18	$35.00	$9.42
84165 Protein measurement, serum	21	21	$86.00	$11.69
84155 Total protein level, blood	21	21	$15.00	$3.99
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	17	$170.00	$59.12
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$444.00	$182.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$398.00	$152.74
82746 Folic acid level	16	16	$59.00	$16.01
85045 Red blood count, automated test	14	14	$16.00	$4.35
90670 Pneumococcal vaccine for injection into muscle	13	13	$474.00	$209.48
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	13	13	$60.00	$54.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	908	372	$7.01	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	512	281	$271.25	$118.58
99213 Established patient office or other outpatient visit, typically 15 minutes	408	273	$185.08	$80.99
80061 Blood test, lipids (cholesterol and triglycerides)	337	317	$42.15	$16.20
85610 Blood test, clotting time	320	28	$13.00	$4.75
83036 Hemoglobin A1C level	262	190	$30.07	$11.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	207	207	$297.00	$129.54
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	193	155	$20.09	$7.82
G0008 Administration of influenza virus vaccine	185	182	$23.00	$22.54
82565 Blood creatinine level	172	158	$16.03	$6.20
90662 Influenza vaccine split virus, preservative free	159	157	$98.24	$52.11
80048 Blood test, basic group of blood chemicals (calcium, total)	142	100	$27.42	$10.20
82043 Urine microalbumin (protein) level	124	122	$17.05	$7.00
82570 Creatinine level to test for kidney function or muscle injury	123	121	$16.04	$6.26
82306 Vitamin d-3 level	105	86	$92.00	$35.82
84443 Blood test, thyroid stimulating hormone (TSH)	86	72	$52.19	$20.33
84132 Blood potassium level	82	82	$15.05	$5.57
81003 Automated urinalysis test	70	47	$7.00	$2.71
G0103 Prostate cancer screening; prostate specific antigen test (psa)	66	66	$57.06	$22.26
83970 Parathormone (parathyroid hormone) level	65	65	$128.00	$49.94
84100 Phosphate level	58	57	$15.00	$5.73
84295 Blood sodium level	58	58	$15.00	$5.82
84153 Psa (prostate specific antigen) measurement, total	55	51	$57.00	$22.26
82310 Calcium level, total	52	52	$16.00	$6.24
82040 Albumin (protein) level	52	51	$16.00	$5.99
84550 Uric acid level, blood	49	45	$14.16	$5.47
G0009 Administration of pneumococcal vaccine	47	47	$23.00	$22.54
80053 Blood test, comprehensive group of blood chemicals	45	40	$33.22	$12.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$434.00	$189.38
87086 Bacterial colony count, urine	43	28	$25.00	$9.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	42	33	$137.00	$59.87
82728 Ferritin (blood protein) level	40	35	$43.30	$16.49
84460 Liver enzyme (sgpt), level	39	39	$17.10	$6.41
82947 Blood glucose (sugar) level	32	31	$13.09	$4.75
82607 Cyanocobalamin (vitamin B-12) level	32	31	$47.88	$18.24
93000 Routine ekg using at least 12 leads including interpretation and report	31	29	$44.00	$19.11
83540 Iron level	28	26	$20.21	$7.83
84466 Transferrin (iron binding protein) level	28	26	$40.43	$15.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$223.00	$105.59
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	25	25	$22.00	$8.49
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	25	24	$56.96	$48.22
G0102 Prostate cancer screening; digital rectal examination	25	25	$56.00	$24.29
99496 Transitional care management services for problem of high complexity	25	23	$588.00	$257.78
84520 Urea nitrogen level to assess kidney function	24	24	$13.00	$4.78
90670 Pneumococcal vaccine for injection into muscle	23	23	$434.00	$197.29
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$420.00	$183.18
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	16	16	$24.00	$9.40
87081 Screening test for pathogenic organisms	15	14	$21.00	$8.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$365.00	$159.97
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$36.00	$16.20
80069 Kidney function blood test panel	13	13	$27.00	$9.72
82746 Folic acid level	12	12	$47.08	$17.79
84439 Thyroxine (thyroid chemical), free	11	11	$28.00	$10.91
85045 Red blood count, automated test	11	11	$13.27	$4.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	944	348	$6.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	512	319	$139.49	$79.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	424	241	$203.89	$115.96
85610 Blood test, clotting time	337	25	$10.00	$5.28
80061 Blood test, lipids (cholesterol and triglycerides)	296	281	$32.00	$13.62
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	227	167	$16.00	$8.69
83036 Hemoglobin A1C level	210	148	$24.00	$13.05
80048 Blood test, basic group of blood chemicals (calcium, total)	207	128	$21.41	$10.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	179	179	$222.00	$125.56
G0008 Administration of influenza virus vaccine	176	171	$50.00	$28.66
90662 Influenza vaccine split virus, preservative free	160	157	$60.00	$47.90
82565 Blood creatinine level	139	136	$13.00	$4.47
82043 Urine microalbumin (protein) level	116	114	$13.00	$7.26
82570 Creatinine level to test for kidney function or muscle injury	115	113	$13.00	$6.96
82306 Vitamin d-3 level	98	88	$71.00	$39.80
84443 Blood test, thyroid stimulating hormone (TSH)	95	75	$54.95	$22.59
82607 Cyanocobalamin (vitamin B-12) level	76	70	$36.00	$20.11
84132 Blood potassium level	73	72	$11.00	$3.61
93000 Routine ekg using at least 12 leads including interpretation and report	69	63	$33.00	$18.74
G0103 Prostate cancer screening; prostate specific antigen test (psa)	66	66	$44.00	$24.73
83970 Parathormone (parathyroid hormone) level	63	60	$99.00	$55.49
81003 Automated urinalysis test	57	48	$6.00	$3.02
84100 Phosphate level	57	57	$12.00	$3.19
80053 Blood test, comprehensive group of blood chemicals	56	48	$26.00	$12.46
84295 Blood sodium level	52	52	$12.00	$3.59
82310 Calcium level, total	50	50	$13.00	$3.43
G0009 Administration of pneumococcal vaccine	50	50	$50.00	$28.66
82040 Albumin (protein) level	50	50	$12.00	$3.06
82728 Ferritin (blood protein) level	47	33	$33.00	$18.33
G0102 Prostate cancer screening; digital rectal examination	44	44	$39.00	$22.26
87086 Bacterial colony count, urine	44	31	$52.05	$10.85
84153 Psa (prostate specific antigen) measurement, total	37	36	$44.00	$24.73
84460 Liver enzyme (sgpt), level	37	37	$13.00	$3.74
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$324.00	$185.10
90670 Pneumococcal vaccine for injection into muscle	32	32	$304.00	$187.02
82947 Blood glucose (sugar) level	31	31	$10.00	$4.59
84550 Uric acid level, blood	29	25	$11.00	$3.36
84466 Transferrin (iron binding protein) level	27	24	$31.00	$17.16
83540 Iron level	27	24	$16.00	$8.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	21	$105.58	$59.11
82746 Folic acid level	23	23	$36.00	$19.77
84520 Urea nitrogen level to assess kidney function	23	23	$10.00	$2.21
85045 Red blood count, automated test	23	23	$10.00	$5.37
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	21	20	$19.00	$10.45
81001 Manual urinalysis test with examination using microscope, automated	21	16	$8.00	$4.26
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	20	12	$21.00	$11.62
84155 Total protein level, blood	19	19	$9.00	$3.58
84165 Protein measurement, serum	19	19	$26.00	$14.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$145.00	$95.90
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$314.00	$179.34
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	17	17	$17.00	$3.47
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	14	14	$22.00	$20.86
82272 Stool analysis for blood	13	13	$8.00	$4.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$273.00	$156.19

Medical Specialties & State Licenses

CMS Verified: 2021-01-28

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 45833

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tufts Commonwealth Ppo

768324

Commercial Insurance / Payer ID Hmo Blue/blue Choice

J01138

Commercial Insurance / Payer ID Neighboorhood Health Plan

0019013

Commercial Insurance / Payer ID Cigna Health Care

6908353

Commercial Insurance / Payer ID Harvard/pilgrim

69648

Commercial Insurance / Payer ID Tufts Total Health Plan

768324

Commercial Insurance / Payer ID Children's Medical Sec.

27398

Commercial Insurance / Payer ID Mass Health (Div Of Med)

3093174

Commercial Insurance / Payer ID Healthsource Massachusett

6908353

Commercial Insurance / Payer ID Tufts

768324

Hospital & Practice Group Affiliations

Atrius Health Inc

90 Libbey Industrial Pkwy, Weymouth, MA 021893157

Phone: 7816820606

Atrius Health Inc

2 Technology Park Dr, Bourne, MA 025328341

Phone: 5087439543

Atrius Health Inc

420 Libbey Industrial Pkwy, Weymouth, MA 021893134

Phone: 7813319880

Atrius Health Inc

100 2nd Ave, Needham, MA 024942809

Phone: 7817264800

Atrius Health Inc

21 Bristol Dr, South Easton, MA 023751199

Phone: 7743025700

Atrius Health Inc

20 Wall St, Burlington, MA 018034758

Phone: 7812212500

Atrius Health Inc

291 Independence Dr, Chestnut Hill, MA 024673628

Phone: 6173252800

Atrius Health Inc

36 Shops At 5 Way, Plymouth, MA 023602677

Phone: 7746083700

Atrius Health Inc

1 Lyons St, Dedham, MA 020265599

Phone: 7813291400

Atrius Health Inc

133 Brookline Ave, Boston, MA 022153904

Phone: 6174211000

Atrius Health Inc

1250 Hancock St, Quincy, MA 021694339

Phone: 6177400600

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Jehane Johnston , MD

Internal Medicine

NPI 1235136508

Doctor of Medicine (M.D.)

Dr. Anne Hackman , MD

Family Medicine

NPI 1316142748

Doctor of Medicine (M.D.)

Erica Frank , MDMPH

Internal Medicine

NPI 1487682944

Dr. Randi Kirstein , MD

Internal Medicine

NPI 1538166335

Doctor of Medicine (M.D.)

Dr. Regina Wu , MD

Internal Medicine

NPI 1629075254

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address January 28, 2021

Registered at 1 LYONS ST, DEDHAM, MA 020265599 (Tel: 7814933570)

✅

NPI Profile Active August 06, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2010

Registered at 1 LYONS ST, DEDHAM, MA 020265599 (Tel: 7813291400)

📍

Updated Business Mailing Address August 06, 2010

Registered at PO BOX 9120, DEDHAM, MA 020279120 (Tel: 7813291400)

👤

Provider Name / Credentials Updated August 06, 2010

Recorded as JONATHAN FORMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2010

Internal Medicine (License #45833 in MA)

🟢

Initial NPI Registration & Enumeration June 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1386641785

Entity Type:

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

Enumeration Date: June 30, 2005

Last Update: January 28, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Lyons St

Dedham, MA 020265599

Phone: 7814933570

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.