Jake Forman
NPI 1558721167 · Vascular Surgery Physician · York, PA
Enrolled with Medicare as Practitioner - Vascular Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jake Forman is a Vascular Surgery Physician provider in York, PA (NPI 1558721167).
Provider details
- NPI number
- 1558721167
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- FF2923515 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
411 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 68 | $116 |
| Ultrasonic Guidance for Blood Vessel Access76937 | 53 | $13 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 46 | $75 |
| Use of a Drug to Induce Depression of Consciousness By Physician Performing a Procedure (5 Years Or Older), Initial 15 Minutes99152 | 43 | $11 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 35 | $146 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 41 | 12 |
| Atorvastatin Calcium | 39 | — |
| Ticagrelorbrand: Brilinta | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,152 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 1227 Baltimore StHanover, PA 17331-4406Phone: (717) 851-6454
- 30 Monument Rd Ste 1100York, PA 17403-5024Phone: (717) 812-2480
- 325 S Belmont StYork, PA 17403-2608Phone: (717) 843-8623
Registry dates
- Enumerated
- 2016-02-25
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Frequently asked questions
- What is Jake Forman's NPI number?
- Jake Forman's National Provider Identifier (NPI) is 1558721167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Forman's specialty?
- Jake Forman is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jake Forman located?
- Jake Forman's practice location on file with NPPES is 30 Monument Rd Ste 1100, York, PA 17403-5024.
- What is Jake Forman's phone number?
- The practice phone number listed in the NPPES registry for Jake Forman is (717) 851-6454.
- Does Jake Forman accept Medicare?
- Jake Forman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jake Forman's NPI active?
- Yes — Jake Forman's NPI (1558721167) is active in the NPPES registry as of the last update on 2026-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.