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Deactivated NPI 1962492488 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Forman , DPM

Podiatrist • Lyndhurst, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Forman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2005
NPI Deactivation Date June 19, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Forman, DPM was a registered Podiatrist practicing in Lyndhurst, OH. Throughout an active medical career spanning 19 years, Dr. Forman provided care at the practice location at 29001 CEDAR RD until profile deactivation on 2024-06-19.

Historical Medicare Part B clinical services included removal of fingernails or toenails, removal of noncancer thickened skin growth, 2-4 growths, trimming of fingernails or toenails. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

29001 Cedar Rd
309

Lyndhurst, OH 441244062

Telephone 4404610777
Fax 4406462433
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Lyndhurst, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Lyndhurst, OH (595 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.3% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
201 74 $50.00 $40.93
11056 Removal of noncancer thickened skin growth, 2-4 growths
143 58 $65.00 $52.51
11719 Trimming of fingernails or toenails
101 40 $20.50 $8.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
80 60 $55.00 $39.72
11720 Removal of fingernails or toenails, 1-5 nails
63 28 $39.44 $29.23
99213 Established patient office or other outpatient visit, typically 15 minutes
59 48 $89.98 $67.22
11057 Removal of noncancer thickened skin growth, more than 4 growths
29 12 $75.00 $59.16
73630 X-ray of foot, minimum of 3 views
22 21 $63.64 $41.30
11055 Removal of single thickened skin growth
22 11 $55.00 $42.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $130.00 $99.46

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 36001417

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Practice Associates & Co-Workers

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

28 Associated Practitioners
Dr. Mark Melamud , MD

Internal Medicine

NPI 1003914508

Doctor of Medicine (M.D.)

Dr. Katharine Rockman , DDS

Dentist - General Practice

NPI 1023053949

Doctor of Dental Surgery

NPI 1053344622

Master of Arts

Dr. Rebecca Davis , DDS, MSD

Dentist - Periodontics

NPI 1104007277

Doctor of Dental Surgery, MSD

NPI 1154496859

Doctor of Dental Surgery

Dr. Ralph Mondora , DDS

Dentist - General Practice

NPI 1164441077

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 19, 2024

Record deactivated on June 19, 2024

NPI Profile Active April 30, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 30, 2010

Registered at 29001 CEDAR RD, 309, LYNDHURST, OH 441244062 (Tel: 4404610777)

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Updated Business Mailing Address April 30, 2010

Registered at PO BOX 24606, LYNDHURST, OH 441240606 (Tel: 4404610777)

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Provider Name / Credentials Updated April 30, 2010

Recorded as MICHAEL FORMAN, D.P.M.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2010

Podiatrist (License #36001417 in OH)

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Initial NPI Registration & Enumeration October 26, 2005

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: 1962492488
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2005
Last Update: April 30, 2010
Deactivation Date: June 19, 2024

Mailing Address

Po Box 24606

Lyndhurst, OH 441240606

Phone: 4404610777

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.