Active NPI 1952393134 Individual Practitioner Male Practitioner

Dr. Patrick Michael Forgione , MD

Surgery • Burlington, VT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Forgione, MD is a certified Surgery practicing in Burlington, VT. With approximately 29 years of clinical experience since graduating from University Of Vermont College Of Medicine in 1997, Dr. Forgione delivers high-quality medical care to the local community at 111 COLCHESTER AVE.

Dr. Forgione is affiliated with University Of Vermont Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Colchester Ave
Fletcher Allen Health Care

Burlington, VT 054011473

Telephone 8028473339

Fax 8028474937

Associated Practice Facility / Clinic

🏢 University Of Vermont Medical Center Inc Facility NPI 1568419976

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Burlington, VT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +8.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

23 Specialists

Practicing in Burlington, VT (83 Statewide)

Telehealth Adoption Rate

8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Forgione (29 Years) 29 Yrs

Burlington Specialty Average (20.2 Years) 20.2 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
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$51.21	$44.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	20	$52.78	$32.94
49505 Repair of groin hernia (5 years or older)	16	16	$2488.19	$500.34
49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length	14	14	$1481.57	$288.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$52.60	$46.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$46.47	$35.23
49505 Repair of groin hernia (5 years or older)	12	12	$2571.67	$493.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$45.31	$35.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$149.14	$132.27
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$54.44	$47.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$91.96	$81.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$55.68	$48.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$36.13	$35.12
49505 Repair of groin hernia (5 years or older)	13	13	$2215.92	$511.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$104.31	$84.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$56.00	$50.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$35.07	$24.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$83.24	$75.32
49505 Repair of groin hernia (5 years or older)	22	21	$2150.36	$515.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$28.38	$25.33
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	17	17	$4602.53	$387.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$50.46	$25.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$83.73	$75.15
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$55.00	$49.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$28.00	$25.05
49505 Repair of groin hernia (5 years or older)	15	15	$2160.00	$509.23
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$68.58	$50.65
47562 Removal of gallbladder using an endoscope	12	12	$2732.83	$641.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$84.00	$75.14
49505 Repair of groin hernia (5 years or older)	24	24	$2349.54	$509.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$28.00	$25.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$86.00	$77.45

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VT 42-0010998

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bc/bs

68736 (VT)

Hospital & Practice Group Affiliations

University Of Vermont Medical Center Inc

1 S Prospect St, Burlington, VT 054013456

Phone: 8028470000

University Of Vermont Medical Center Inc

111 Colchester Ave, Burlington, VT 054011473

Phone: 8028470000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Gerald Mingin , MD

Urology - Pediatric Urology

NPI 1447344775

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 December 09, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 09, 2013

Registered at 111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 054011473 (Tel: 8028473339)

📍

Updated Business Mailing Address December 09, 2013

Registered at PO BOX 1063, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 054021063 (Tel: 8028473339)

👤

Provider Name / Credentials Updated December 09, 2013

Recorded as PATRICK FORGIONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2013

Surgery (License #42-0010998 in VT)

🟢

Initial NPI Registration & Enumeration August 16, 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: 1952393134

Entity Type:

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

Enumeration Date: August 16, 2005

Last Update: December 09, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1063, Fletcher Allen Health Care

Burlington, VT 054021063

Phone: 8028473339

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.