DR. CHRISTOPHER W FORMAN M.D.
NPI 1235285644
Internal Medicine in Carson City, NV
NPI Status: Active since January 26, 2007
Contact Information
2874 N CARSON ST
SUITE 200
CARSON CITY, NV
ZIP 89706
Phone: (775) 445-7170
Fax: (775) 883-0959
- Individual
- Male
- Internal Medicine
- Medicare Quality Reporting
About CHRISTOPHER FORMAN
This page provides the complete NPI Profile along with additional information for Christopher Forman, an internist established in Carson City, Nevada with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1235285644 assigned on January 2007. The practitioner's primary taxonomy code is 207R00000X with license number 5528 (NV). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1235285644
- Provider Name
- DR. CHRISTOPHER W FORMAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2874 N CARSON ST SUITE 200 CARSON CITY, NV 89706
- Location Phone
- (775) 445-7170
- Location Fax
- (775) 883-0959
- Mailing Address
- PO BOX 4540 CARSON CITY, NV 89702
- Mailing Phone
- (775) 882-0430
- Mailing Fax
- (775) 883-0959
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-26-2007
- Last Update Date
- 09-18-2014
- Code Navigator
An internist like Christopher Forman is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5528
- License State
- NV
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110224130 | OTHER (01) | NV | RAILROAD MEDICARE PROV |
| D95259 | MEDICARE UPIN (02) | NV | |
| 002013125 | MEDICAID (05) | NV | |
| NV0117 | OTHER (01) | NV | BCBS PROVIDER # |
| BQ885Z | MEDICARE PIN (08) | NV |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Administration of pneumococcal vaccine
Annual depression screening, 15 minutes
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Assessment of emotional or behavioral problems
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Influenza vaccine, quadrivalent derived from recombinant dna
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Telephone medical discussion with physician, 11-20 minutes
Urinalysis, manual test
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 115 times for 114 patientsThe pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
This service was performed 13 times for 13 patientsAn annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
This service was performed 16 times for 16 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 239 times for 239 patientsAssessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
This service was performed 16 times for 14 patientsChronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
This service was performed 29 times for 14 patientsChronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
This service was performed 34 times for 18 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 135 times for 120 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 1,414 times for 549 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 99 times for 87 patientsThe quadrivalent influenza vaccine, made through recombinant DNA technology, is a flu shot that protects against four different flu viruses. This vaccine is produced by genetically modifying a virus, making it safer and more effective. It's a key tool in preventing flu-related illnesses.
This service was performed 116 times for 115 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 16 times for 16 patientsThe Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
This service was performed 11 times for 11 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 38 times for 36 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 11 times for 11 patientsThis is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
This service was performed 14 times for 14 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 51 times for 41 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 100% | 985 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Coronary Artery Disease (CAD): Antiplatelet Therapy | 97% | 144 |
| Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel | ||
| Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 95% | 228 |
| Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months | ||
| Diabetes: Medical Attention for Nephropathy | 96% | 140 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| Documentation of Current Medications in the Medical Record | 100% | 3479 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 68% | 1978 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 3% | 214 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Participation in CAHPS or other supplemental questionnaire | Yes | N/A |
| Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets). | ||
| Patient-Specific Education | 2% | 677 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 96% | 1380 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 72% | 677 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 29% | 677 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 2 | 8 | 5 | 6 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 4 | 8 | 10 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 4 + 8 + 1 + 0 + 6 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1235285644 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598759409 | DR. JANET KATHLEEN CORBIT-DRAKULICH OD Individual | Optometrist | 2874 N CARSON ST SUITE 210 CARSON CITY, NV 89706 (775) 887-8866 |
| 1952361289 | DR. JOHN ALEXANDER FOREST III M.D. Individual | Otolaryngology | 2874 N CARSON ST SUITE 220 CARSON CITY, NV 89706 (775) 883-7666 |
| 1831140805 | LENDELL RICHARD STEPHENSON PT Individual | Physical Therapist | 2874 N CARSON ST SUITE 100 CARSON CITY, NV 89706 (775) 883-4161 |
| 1366494981 | STAR CARPENTER PT Individual | Physical Therapist | 2874 N CARSON ST SUITE 100 CARSON CITY, NV 89706 (775) 883-4161 |
| 1780625525 | ROGER ROGALSKI MD CHTD Organization | Orthopaedic Surgery | 2874 N CARSON ST #105 CARSON CITY, NV 89706 (775) 841-9991 |
| 1336246388 | DR. HEATHER LESHEA DEAN AU.D Individual | Audiologist | 2874 N CARSON ST #220 CARSON CITY, NV 89706 (775) 883-7666 |
| 1497855464 | CAROLINE TRACY MUSCARI MD Individual | Physical Medicine & Rehabilitation | 2874 N CARSON ST SUITE 230 CARSON CITY, NV 89706 (775) 885-8133 |
| 1023173887 | JOSEE ANN PERRINE MFT LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 2874 N CARSON ST STE 215 CARSON CITY, NV 89706 (775) 885-7717 |
| 1033274808 | JERRY M CINANI LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 2874 N CARSON ST STE 215 CARSON CITY, NV 89706 (775) 885-7717 |
| 1063568467 | DR. SUSAN R PINTAR M.D. Individual | Pediatrics | 2874 N CARSON ST SUITE 200 CARSON CITY, NV 89706 (775) 883-9003 |
| 1255487773 | CAPITAL MEDICAL ASSOCIATES -YAMAMOTO-VANEPPS-FORMAN-PINTAR LTD Organization | Internal Medicine (Adolescent Medicine) | 2874 N CARSON ST SUITE 200 CARSON CITY, NV 89706 (775) 283-3220 |
| 1578695789 | WILLIAM NEAL EVANS, MD, LTD Organization | Pediatrics (Pediatric Cardiology) | 2874 N CARSON ST SUITE 200 CARSON CITY, NV 89706 (702) 732-1290 |
| 1669669990 | BRYAN L. RICKS, M.D. Organization | Family Medicine | 2874 N CARSON ST SUITE 135 CARSON CITY, NV 89706 (775) 883-7855 |
| 1548447279 | SEE CENTER Organization | Optometrist | 2874 N CARSON ST SUITE 200 CARSON CITY, NV 89706 (775) 887-8866 |
| 1487909941 | ERIN ELIZABETH WARRELL Individual | Marriage & Family Therapist | 2874 N CARSON ST SUITE 215 CARSON CITY, NV 89706 (775) 885-7717 |
| 1720338585 | TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC, INC. Organization | Durable Medical Equipment & Medical Supplies | 2874 N CARSON ST SUITE 105 CARSON CITY, NV 89706 (775) 283-3321 |
| 1235494915 | LORI STEYN O.D. Individual | Optometrist | 2874 N CARSON ST SUITE 210 CARSON CITY, NV 89706 (775) 887-8866 |
| 1619388683 | SIERRA NEVADA SURGICAL ASSOCIATES Organization | Surgery | 2874 N CARSON ST CARSON CITY, NV 89706 (775) 461-2997 |
| 1831105972 | DR. GREGG WAYNE MCANINCH M.D. Individual | Radiology (Diagnostic Radiology) | 2874 N CARSON ST SUITE 215 CARSON CITY, NV 89706 (775) 888-1180 |
| 1275645426 | PHIL M ALDRICH M.D. Individual | Internal Medicine | 2874 N CARSON ST SUITE 200 CARSON CITY, NV 89706 (775) 445-7170 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235285644, enumerated in the NPI registry as an "individual" on January 26, 2007
The provider is located at 2874 N Carson St Suite 200 Carson City, Nv 89706 and the phone number is (775) 445-7170
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Annual depression screening, 15 minutes, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Assessment of emotional or behavioral problems, Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month, Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Influenza vaccine, quadrivalent derived from recombinant dna, Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional, Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, Telephone medical discussion with physician, 11-20 minutes and Urinalysis, manual test.
This NPI record was last updated on January 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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