Active NPI 1235285644 Individual Practitioner Male Practitioner

Dr. Christopher W Forman , MD

Internal Medicine • Carson City, NV

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Forman, MD is a registered healthcare professional specializing in Internal Medicine in Carson City, NV. Practice services are available at 2874 N CARSON ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, chronic care management services for two or more chronic conditions, additional. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2874 N Carson St
Suite 200

Carson City, NV 897060251

Telephone 7754457170

Fax 7758830959

Associated Practice Facility / Clinic

🏢 Caroline Tracy Muscari, M.d Inc. Facility NPI 1568412856

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Carson City, NV

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.6 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

19 Specialists

Practicing in Carson City, NV (1271 Statewide)

Telehealth Adoption Rate

26.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

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	378	301	$315.00	$126.39
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	57	33	$98.00	$62.13
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	31	20	$59.00	$46.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$318.92	$127.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$440.50	$179.00
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$222.33	$88.36

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	1,414	549	$327.71	$129.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	239	239	$330.03	$132.85
99213 Established patient office or other outpatient visit, typically 15 minutes	135	120	$232.50	$91.92
90682 Influenza vaccine, quadrivalent derived from recombinant dna	116	115	$162.21	$68.43
G0008 Administration of influenza virus vaccine	115	114	$43.73	$29.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	87	$461.90	$182.60
81002 Urinalysis, manual test	51	41	$20.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	38	36	$45.00	$14.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	34	18	$98.00	$64.05
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	29	14	$59.00	$48.39
G0444 Annual depression screening, 5 to 15 minutes	16	16	$44.00	$18.84
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	16	$59.72	$23.39
96127 Assessment of emotional or behavioral problems	16	14	$14.00	$4.97
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$220.36	$72.44
G0009 Administration of pneumococcal vaccine	13	13	$44.69	$29.91
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$750.00	$278.31
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$22.64	$8.46

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	967	519	$309.78	$134.41
99213 Established patient office or other outpatient visit, typically 15 minutes	291	233	$215.81	$94.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	144	144	$299.00	$137.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	85	$432.42	$188.34
90682 Influenza vaccine, quadrivalent derived from recombinant dna	67	67	$140.00	$65.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	11	$45.00	$14.62
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	48	46	$23.00	$8.63
G0008 Administration of influenza virus vaccine	40	40	$64.00	$17.52
81002 Urinalysis, manual test	32	28	$20.00	$3.48
G0009 Administration of pneumococcal vaccine	25	25	$65.00	$17.51
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$130.00	$123.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$423.00	$174.16

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	948	542	$277.00	$111.54
99213 Established patient office or other outpatient visit, typically 15 minutes	664	433	$188.00	$77.06
G0008 Administration of influenza virus vaccine	85	85	$64.94	$17.10
90662 Influenza vaccine split virus, preservative free	79	79	$91.58	$50.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$300.17	$119.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	20	$61.15	$14.61
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	61	15	$25.00	$1.95
99442 Telephone medical discussion with physician, 11-20 minutes	60	57	$148.53	$75.86
99443 Telephone medical discussion with physician, 21-30 minutes	58	48	$194.83	$110.92
81002 Urinalysis, manual test	40	38	$20.00	$3.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	39	$373.00	$149.27
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$44.00	$17.53
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$133.20	$118.64
G0009 Administration of pneumococcal vaccine	23	23	$65.70	$17.00
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	19	17	$139.00	$54.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$424.71	$168.76
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$48.00	$19.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,287	732	$187.98	$75.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,127	641	$277.00	$110.68
81002 Urinalysis, manual test	96	75	$20.31	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	20	$66.00	$17.08
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	84	41	$139.00	$54.35
G0008 Administration of influenza virus vaccine	82	81	$66.00	$16.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	82	12	$25.00	$1.79
G0009 Administration of pneumococcal vaccine	64	64	$66.00	$16.76
93000 Routine ekg using at least 12 leads including interpretation and report	61	57	$44.00	$17.40
90653 Vaccine for influenza for injection into muscle	57	57	$149.00	$58.34
90670 Pneumococcal vaccine for injection into muscle	49	49	$300.00	$210.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$443.00	$175.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	39	$373.00	$148.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$301.00	$118.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$113.00	$46.08
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	24	24	$50.00	$18.65
94640 Inhalation treatment for airway obstruction or sputum production	18	16	$49.00	$18.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$425.00	$167.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$135.00	$109.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,098	1,195	$187.99	$73.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,717	884	$277.00	$108.15
81002 Urinalysis, manual test	219	158	$20.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	116	37	$66.00	$20.80
93000 Routine ekg using at least 12 leads including interpretation and report	113	104	$44.00	$17.15
94640 Inhalation treatment for airway obstruction or sputum production	93	85	$49.00	$19.12
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	89	15	$25.00	$1.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	68	$373.00	$146.22
G0008 Administration of influenza virus vaccine	54	54	$66.00	$20.68
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	54	41	$139.00	$54.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	41	$113.00	$44.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$425.00	$165.59
69210 Removal of impacted ear wax	32	23	$128.63	$47.66
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	30	30	$60.00	$23.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$301.00	$107.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$279.00	$109.25
90653 Vaccine for influenza for injection into muscle	15	15	$125.00	$53.58
99497 Advance care planning, first 30 minutes	14	14	$219.00	$85.10
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$40.00	$16.20
90756 Vaccine for influenza for injection into muscle	12	12	$70.00	$22.33
83037 Hemoglobin a1c level, by device for home use	11	11	$35.00	$11.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,165	1,162	$187.99	$73.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,433	851	$276.88	$108.57
81002 Urinalysis, manual test	186	139	$20.00	$3.43
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	185	38	$105.00	$42.77
93000 Routine ekg using at least 12 leads including interpretation and report	136	123	$44.00	$17.33
94640 Inhalation treatment for airway obstruction or sputum production	99	87	$49.00	$19.01
G0008 Administration of influenza virus vaccine	88	86	$62.73	$25.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	79	28	$66.00	$26.11
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	78	78	$60.00	$23.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	66	$113.00	$44.42
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	65	16	$25.00	$2.84
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	59	51	$139.00	$54.66
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	41	14	$215.00	$94.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	35	$373.00	$146.64
G0179 Physician re-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 to affirm the initial imp	29	18	$107.00	$42.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$425.00	$166.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$279.00	$110.04
J0696 Injection, ceftriaxone sodium, per 250 mg	23	11	$20.00	$0.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$301.00	$117.39
83037 Hemoglobin a1c level, by device for home use	18	18	$35.00	$13.05
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$429.00	$167.89
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	12	12	$25.00	$16.41
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$44.00	$17.44
69210 Removal of impacted ear wax	11	11	$129.00	$50.04

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NV 5528

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

Medicaid State Provider ID

002013125 (NV)

Commercial Insurance / Payer ID Railroad Medicare Prov

110224130 (NV)

Commercial Insurance / Payer ID Bcbs Provider #

NV0117 (NV)

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Susan Maturlo , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1023076460

Doctor of Medicine (M.D.)

Dr. Susan Pintar , MD

Pediatrics

NPI 1063568467

Doctor of Medicine (M.D.)

Deborah Le Balch , APRN

Nurse Practitioner

NPI 1134589922

Advanced Practice Registered Nurse

Leeanna Bristol , APN

Nurse Practitioner - Acute Care

NPI 1205127479

Advanced Practice Nurse

Dr. Richard Yamamoto , MD

Internal Medicine

NPI 1215083753

Doctor of Medicine (M.D.)

Jean Gebhard , APN, RN

Nurse Practitioner - Family

NPI 1225398688

Advanced Practice Nurse, Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2014

Registered at 2874 N CARSON ST, SUITE 200, CARSON CITY, NV 897060251 (Tel: 7754457170)

📍

Updated Business Mailing Address September 18, 2014

Registered at PO BOX 4540, CARSON CITY, NV 897024540 (Tel: 7758820430)

👤

Provider Name / Credentials Updated September 18, 2014

Recorded as CHRISTOPHER FORMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2014

Internal Medicine (License #5528 in NV)

🟢

Initial NPI Registration & Enumeration January 26, 2007

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: 1235285644

Entity Type:

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

Enumeration Date: January 26, 2007

Last Update: September 18, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4540

Carson City, NV 897024540

Phone: 7758820430

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.