Doctor profile · Federal record

Dr. Jay Forman, PA-C

Surgical Physician Assistant · Gloucester, VA

  • NPI 1073826517
  • MIPS 94.1 / 100 · 2023
  • 16 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
7544 Hospital Dr, Suite 202A
Gloucester, VA 230614178
(804) 693-0529
fax (804) 693-1670
Mailing address
856 J Clyde Morris Blvd, Suite A
Newport News, VA 236011318

Credentials & registration

NPPES · NUCC
NPI registered
July 2010 — 16 yrs on file
Profile last updated
November 26, 2013
Specialty taxonomy
363AS0400X — NUCC code
State license (1)
Virginia #0110003739

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1073826517. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
493
Distinct HCPCS
5
Medicare allowed
$57,198
HCPCS Description Services Patients Avg allowed
99284 Emergency department visit with moderate level of medical decision making 253 246 $101
99285 Emergency department visit with high level of medical decision making 167 163 $148
99283 Emergency department visit with low level of medical decision making 38 38 $60
99291 Critical care, first 30-74 minutes 24 24 $179
99282 Emergency department visit with straightforward medical decision making 11 11 $35

In context: peer comparison

Among 1 peers in this city , average services per provider: 98. This provider delivers 5.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
159
Patients
136
Total drug cost
$1,427
Drug Type Claims Patients Total cost
Cephalexin Generic 37 36 $422
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 37 37 $163
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 22 22 $135
Prednisone Generic 17 17 $67
Methylprednisolone Generic 13 13 $126
Cefdinir Generic 11 0 $313
Clindamycin Hcl Generic 11 0 $132
Ondansetron Hcl Generic 11 11 $69

Frequently asked questions

Auto-generated from federal data
What is Dr. Jay Forman's medical specialty?
Dr. Jay Forman practices Surgical Physician Assistant in Gloucester, VA.
Where does Dr. Jay Forman practice?
Dr. Jay Forman practices at 7544 Hospital Dr, Gloucester, VA 230614178. Office phone: 8046930529.
What is Dr. Jay Forman's NPI?
Dr. Jay Forman's National Provider Identifier (NPI) is 1073826517, issued by NPPES.
What procedures does Dr. Jay Forman commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.