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PROVIDER PROFILE · NPI 1144259078

Jonathan FormanM.D.

OtolaryngologyTampa, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 100075
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
830
Unique beneficiaries
—
Total services
1,378
Distinct HCPCS
12
Medicare payment
$137K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 578 Otolaryngology providers in FL — below median (cohort median 1,539).
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
676
Beneficiaries
—
Total drug cost
$14K
Distinct drugs
19
Brand share
12.4%
Top prescribed drugs
Ipratropium Bromide152 claims
Fluticasone Propionate132 claims
Levocetirizine Dihydrochloride65 claims
Azelastine Hcl64 claims
Prednisone30 claims
REFERRAL NETWORK

Where Jonathan Forman's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 7 inbound referrers · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
4075
FLORIDA HEALTH SCIENCES CENTER INC1945
Lana Bellon
Diagnostic Radiology · St Petersburg, FL
1527
Thomas Heyck
Diagnostic Radiology · Gainesville, GA
1566
Glenn Stambo
Diagnostic Radiology · Tampa, FL
1230
Seth Forman
Dermatology · Tampa, FL
1247
Hillsborough County Florida Board Of County Commissioners
Ambulance Service Provider · Tampa, FL
1121
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST. JOSEPH'S HOSPITAL, INC.43122
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tampa, FL
3780
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
3060
WEST FLORIDA - MHT LLC2757
Lifefleet Southeast Inc
Ambulance Service Provider · Tampa, FL
2032
KNIGHT, RICHARD2069
Thomas Heyck
Diagnostic Radiology · Gainesville, GA
1772
Stephen Kreitzer
Internal Medicine · Tampa, FL
1649
FLORIDA HEALTH SCIENCES CENTER INC1625
Sam Diasti
Internal Medicine · Tampa, FL
14110
Morris Hanan
Gastroenterology · Tampa, FL
1125
Cheryl Reed
Family Practice · Tampa, FL
1134
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$172
Payment records
7
By payment type
Food and Beverage$172