Everett Roy Forman, M.D.
NPI 1528061967ActiveIndividual· General Practice· Latham, NY
General Practice (M.D.) in Latham, New York, trained at Albany Medical College of Union University (class of 1968). Their prescriptions cost Medicare Part D more than their services did: $342,224 for 3,586 claims, against $19,735 paid for services in 2024. Phathom Pharmaceuticals, Inc. was the largest of 3 companies reporting payments in 2025, $152.75 in all, mostly food and beverage.
Overview
| NPI | 1528061967 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 31, 2005 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 103928-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 293 across 13 procedure codes |
| Paid by Medicare | $19,735 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,586 · 8,097 30-day fills |
|---|---|
| Patients | 340 |
| Total drug cost | $342,224 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Albany Medical College of Union University |
|---|---|
| Graduation year | 1968 |
| Medicare specialty | General Practice |
Hospital affiliations
- Ellis HospitalSchenectady, NY
- St Peter's HospitalAlbany, NY
Industry payments (Open Payments)
- 2025$152.75 · 3 payments from 3 companies
- 2024$193.53 · 5 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Phathom Pharmaceuticals, Inc. | $125.00 | 1 |
| Lilly USA, LLC | $14.08 | 1 |
| Astrazeneca Pharmaceuticals LP | $13.67 | 1 |
What the 2025 payments were for
- Food and Beverage$152.75 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other General Practice providers in Latham
- 1104160316
- 1144402983
- 1063704211