Dana Lynn Forman I, D.O.
NPI 1437319399ActiveIndividual· Surgery· Fresno, CA
Surgery (D.O.) in Fresno, California, licensed in CA, with an NPI issued in June 2008. Medicare paid $28,003 for services to 138 patients in 2024. Lists Marinhealth Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1437319399 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 13, 2008 |
| Last updated in NPPES | Oct 16, 2020 |
| Certified by provider | Oct 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 20A9772 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 138 |
|---|---|
| Services billed | 207 across 28 procedure codes |
| Paid by Medicare | $28,003 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | General Surgery |
Hospital affiliations
- Marinhealth Medical CenterGreenbrae, CA
- Sonoma Valley HospitalSonoma, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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