Jay Miles Forman, PA-C
NPI 1073826517ActiveIndividual· Physician Assistant, Surgical· Gloucester, VA
Physician Assistant, Surgical (PA-C) in Gloucester, Virginia, licensed in VA, with an NPI issued in July 2010. 401 Medicare patients in 2024, $44,091 paid; nearly all of their 327 Part D prescriptions were generic (95%).
Overview
| NPI | 1073826517 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 26, 2010 |
| Last updated in NPPES | Nov 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 0110003739 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 401 |
|---|---|
| Services billed | 476 across 20 procedure codes |
| Paid by Medicare | $44,091 |
Part D prescriptions in 2024
| Prescriptions (claims) | 327 · 331 30-day fills |
|---|---|
| Patients | 241 |
| Total drug cost | $5,397 |
| Generic share | 95% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records