Jay Forman, PA-C
NPI 1073826517 · Surgical Physician Assistant · Gloucester, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jay Forman, PA-C is a Surgical Physician Assistant provider in Gloucester, VA (NPI 1073826517).
Provider details
- NPI number
- 1073826517
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0110003739 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
442 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 199 | $100 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 154 | $144 |
| Critical Care, First 30-74 Minutes99291 | 52 | $176 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 25 | $59 |
| Critical Care, Each Additional 30 Minutes99292 | 12 | $89 |
Typical Medicare-allowed amounts for these services range $59–$176 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 56 | 56 |
| Cephalexin | 34 | 33 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 25 | 25 |
| Cyclobenzaprine Hcl | 22 | 21 |
| Methylprednisolone | 19 | 19 |
| Ondansetron Hcl | 15 | 15 |
| Prednisone | 14 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-26
- Last updated
- 2013-11-26
Frequently asked questions
- What is Jay Forman's NPI number?
- Jay Forman's National Provider Identifier (NPI) is 1073826517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Forman's specialty?
- Jay Forman is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jay Forman located?
- Jay Forman's practice location on file with NPPES is 7544 Hospital Dr, Gloucester, VA 23061-4178.
- What is Jay Forman's phone number?
- The practice phone number listed in the NPPES registry for Jay Forman is (804) 693-0529.
- Does Jay Forman accept Medicare?
- Jay Forman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jay Forman's NPI active?
- Yes — Jay Forman's NPI (1073826517) is active in the NPPES registry as of the last update on 2013-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.