Jake Forman
Vascular Surgery Physician · York, PA
Jake Forman is a vascular surgery physician with a practice address in York, Pennsylvania, and NPI 1558721167, issued on Feb 25, 2016. Check the license (Pennsylvania OS019891, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Jake Forman
- Primary taxonomy
- Vascular Surgery Physician 2086S0129X
- License numbers
- OS019891 PA
FF2923515 PA
Self-reported in NPPES; status is on the state search - Practice location
- 30 Monument RD Ste 1100, York, PA 17403
- Phone
- (717) 851-6454
- Enumerated
- Feb 25, 2016
- Record last updated
- May 14, 2026
- Medicare enrollment
- Enrolled (PECOS I20230906003974); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest vascular surgery physician records → All 272 in Pennsylvania → Look up another NPI →
Also registered at 30 Monument RD Ste 1100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alyssa Amicone, MGCGenetic Counselor (M.S.)1821921800
- Kathy Attig, CRNPGerontology Nurse Practitioner1023765575
- Nicole Baker, PA-CPhysician Assistant1710439237
- Felicia Batten, CRNPAcute Care Nurse Practitioner1356535892
- Erika Bettis, CRNPPrimary Care Nurse Practitioner1639985443
- Megan Betts, MSGenetic Counselor (M.S.)1003337577
Verify Jake Forman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license OS019891Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
45% fewer Medicare Part D claims than the average vascular surgery physician in 2024
110 Medicare Part D claims for 36 beneficiaries, against an average of 201 among the 3,936 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims.
Most prescribed
- Clopidogrel41 claims
- Atorvastatin Calcium39 claims
- Brilinta12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $2,151.83
10 payments; by number, the most common kind was food and beverage; the largest payer was Penumbra, Inc. The 4,059 providers of this specialty with any payment received $6,178.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Wellspan Medical GroupHanover, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jake Forman among 272 vascular surgery physician records in Pennsylvania
Jake Forman is one of 272 vascular surgery physician records with a practice address in Pennsylvania. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 85% of them.
- NPI issued2016 · 85% of these records are older, 13% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated2016 · median 2005 among the 193 with a school on file
- Record last updated2026 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0129X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Vascular Surgery Physician providers in Pennsylvania
There are 272 vascular surgery physician records in Pennsylvania.
All 272 in Pennsylvania → Every provider in York → Vascular Surgery Physician nationwide →
The 8 vascular surgery physician records with the nearest ZIP codes
- Oluwafunmi Awonuga, M.D.York, PA 174031790003093
- Steven Busuttil, M.D.York, PA 174031982627071
- Nancy Harthun, M.D.York, PA 174031013086628
- Clifford Lynd, Jr., M.D.York, PA 174031477547479
- Nicole Meredith, BSN, RN, CNOR, RNFAYork, PA 174031205797644
- Shivik Patel, M.D.York, PA 174031780116319
- Adam Sagarwala, D.O.York, PA 174031932426616
- Maxim Shaydakov, MDYork, PA 174031780118679
Common questions
What is Jake Forman's NPI number?
Jake Forman's National Provider Identifier (NPI) is 1558721167, issued on Feb 25, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Jake Forman located?
The NPPES record lists a practice address at 30 Monument RD Ste 1100, York, PA, 17403. Phone: (717) 851-6454. Providers update this record themselves, so call before visiting.
How can I verify Jake Forman's license?
NPPES lists Pennsylvania license number OS019891, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jake Forman prescribe under Medicare Part D?
In 2024, Jake Forman had 110 Medicare Part D claims for 36 beneficiaries; the average among vascular surgery physician prescribers was 201. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.