Jacqueline Forman
NPI 1780020560ActiveIndividual· Internal Medicine, Gastroenterology· Mineola, NY
Internal Medicine, Gastroenterology in Mineola, New York, trained at State University of New York Downstate Medical Center (class of 2013). Their prescriptions cost Medicare Part D more than their services did: $458,209 for 201 claims, against $39,895 paid for services in 2024. Abbvie Inc. was the largest of 15 companies reporting payments in 2025, $1,795 in all, mostly food and beverage.
Overview
| NPI | 1780020560 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 20, 2013 |
| Last updated in NPPES | Mar 31, 2021 |
| Certified by provider | Mar 31, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 287977 | NY |
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 - Gastroenterology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 245 |
|---|---|
| Services billed | 452 across 27 procedure codes |
| Paid by Medicare | $39,895 |
Part D prescriptions in 2024
| Prescriptions (claims) | 201 · 378 30-day fills |
|---|---|
| Patients | 68 |
| Total drug cost | $458,209 |
| Generic share | 75% of claims |
Education and affiliations
| Medical school | State University of New York Downstate Medical Center |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical group
- Digestive Healthcare Associates PCGreat Neck, NY · 16 clinicians
Industry payments (Open Payments)
- 2025$1,795 · 101 payments from 15 companies
- 2024$595.00 · 26 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $515.73 | 29 |
| Janssen Biotech, Inc. | $277.82 | 17 |
| Ardelyx, Inc. | $180.49 | 12 |
| Pfizer Inc. | $158.71 | 10 |
| Takeda Pharmaceuticals U.S.A., Inc. | $158.29 | 11 |
What the 2025 payments were for
- Food and Beverage$1,795 · 101 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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