Active NPI 1073826517 Individual Practitioner Male Practitioner

Jay Miles Forman , PA-C

Physician Assistant - Surgical • Gloucester, VA

Professional Overview & Biography Verified Profile Summary

Jay Forman, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Gloucester, VA. Practice services are available at 7544 HOSPITAL DR under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7544 Hospital Dr
Suite 202a

Gloucester, VA 230614178

Telephone 8046930529

Fax 8046931670

Associated Practice Facility / Clinic

🏢 Riverside Hospital Inc Facility NPI 1801891023

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Gloucester, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Gloucester, VA (284 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.4% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	199	185	$215.00	$99.52
99285 Emergency department visit for life threatening or functioning severity	154	149	$308.00	$143.92
99291 Critical care, first 30-74 minutes	52	51	$482.00	$175.97
99283 Emergency department visit with low level of medical decision making	25	25	$139.72	$58.54
99292 Critical care, each additional 30 minutes	12	11	$218.00	$88.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	253	246	$215.00	$100.98
99285 Emergency department visit for life threatening or functioning severity	167	163	$308.00	$147.72
99283 Emergency department visit with low level of medical decision making	38	38	$112.00	$60.34
99291 Critical care, first 30-74 minutes	24	24	$482.00	$179.22
99282 Emergency department visit with straightforward medical decision making	11	11	$76.00	$35.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	140	133	$485.93	$151.41
99284 Emergency department visit with moderate level of medical decision making	131	129	$309.60	$104.14
99283 Emergency department visit with low level of medical decision making	84	83	$175.00	$61.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	158	154	$368.00	$105.66
99285 Emergency department visit for life threatening or functioning severity	154	149	$543.00	$153.52
99283 Emergency department visit with low level of medical decision making	111	107	$196.00	$62.23
12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$345.00	$50.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	169	165	$543.00	$149.74
99284 Emergency department visit with moderate level of medical decision making	117	113	$369.50	$103.59
99283 Emergency department visit with low level of medical decision making	108	107	$196.00	$56.06
99282 Emergency department visit with straightforward medical decision making	12	11	$129.00	$37.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	197	190	$543.00	$147.44
99284 Emergency department visit with moderate level of medical decision making	177	170	$368.99	$100.41
99283 Emergency department visit with low level of medical decision making	111	106	$196.00	$52.92
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	12	11	$312.00	$36.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	186	175	$543.00	$145.04
99284 Emergency department visit with moderate level of medical decision making	172	167	$368.00	$99.22
99283 Emergency department visit with low level of medical decision making	120	114	$196.00	$52.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	173	170	$368.00	$98.54
99285 Emergency department visit for life threatening or functioning severity	161	150	$543.00	$144.59
99283 Emergency department visit with low level of medical decision making	91	90	$196.00	$51.61
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	11	11	$312.00	$37.60

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License VA 0110003739

Definition to come...

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Barbaro Perez , MD

Orthopaedic Surgery

NPI 1528081569

Doctor of Medicine (M.D.)

Christopher Schultz , PA

Physician Assistant - Medical

NPI 1790975035

Physician Assistant

Hannah Pearson , PA-S

Physician Assistant

NPI 1841751278

PAS

Dr. Steven Hospodar , MD

Orthopaedic Surgery

NPI 1861615775

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 November 26, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 26, 2013

Registered at 7544 HOSPITAL DR, SUITE 202A, GLOUCESTER, VA 230614178 (Tel: 8046930529)

📍

Updated Business Mailing Address November 26, 2013

Registered at 856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 236011318

👤

Provider Name / Credentials Updated November 26, 2013

Recorded as JAY FORMAN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2013

Physician Assistant (License #0110003739 in VA)

🟢

Initial NPI Registration & Enumeration July 26, 2010

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: 1073826517

Entity Type:

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

Enumeration Date: July 26, 2010

Last Update: November 26, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

856 J Clyde Morris Blvd, Suite A

Newport News, VA 236011318

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.