Doctor profile · Federal record
Dr. Jake Forman
Vascular Surgery Physician (CMS: Vascular Surgery) · Vascular Surgery Physician · York, PA
- NPI 1558721167
- Accepts Medicare
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
25 Monument RD Ste 145
York, PA 174035060
(717) 851-6454 - Additional location
-
1227 Baltimore St
Hanover, PA 173314406 - Additional location
-
30 Monument RD Ste 1100
York, PA 174035024 - Additional location
-
325 S Belmont St
York, PA 174032608
(717) 843-8623 - Mailing address
-
601 Memory Ln
York, PA 174022231
Show 1 more location
Credentials & registration
- NPI registered
- February 2016 — 10 yrs on file
- Profile last updated
- February 27, 2025
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 2086S0129X — NUCC code
- State licenses (2)
- Pennsylvania #OS019891 · Pennsylvania #FF2923515
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558721167. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
41
Distinct HCPCS
2
Medicare allowed
$4,278
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 26 | 17 | $76 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $153 |
In context: peer comparison
Among 3 peers in York Vascular Surgery Physician, average services per provider: 111. This provider delivers 0.4× the peer median.Open Payments
Industry payments received
All-time total
$2,152
Transactions
10
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Penumbra, INC. | 5 | $1,908.69 | |
| Silk Road Medical, INC. | 1 | $78.15 | |
| Terumo Medical Corporation | 1 | $64.51 | |
| Bard Peripheral Vascular, INC. | 1 | $45.96 | |
| Medtronic, INC. | 1 | $32.31 | |
| ShockWave Medical, INC | 1 | $22.21 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Jake Forman's medical specialty?
Dr. Jake Forman practices Vascular Surgery Physician in York, PA.
Where does Dr. Jake Forman practice?
Dr. Jake Forman practices at 25 Monument RD Ste 145, York, PA 174035060. Office phone: 7178516454.
What is Dr. Jake Forman's NPI?
Dr. Jake Forman's National Provider Identifier (NPI) is 1558721167, issued by NPPES.
Does Dr. Jake Forman accept Medicare assignment?
Yes. Dr. Jake Forman accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jake Forman commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.