Active NPI
Scott Kevin Forman, M.D.
- Orthopaedic Surgery Physician
- Newport Beach, CA
National Provider Identifier
1306881842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G71209
- Practice address
- 360 San Miguel Dr
Suite 701
Newport Beach, CA 92660-7853 - Phone
- (949) 759-3600
- Fax
- (949) 759-0282
- NPI assigned
- Jun 18, 2006
- Last updated
- Sep 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G71209 | CA | Primary |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | G71209 | CA |
Addresses
Primary practice location
360 San Miguel Dr
Suite 701
Newport Beach, CA 92660-7853
Mailing address
360 San Miguel Dr
Suite 701
Newport Beach, CA 92660-7853
Phone (949) 759-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of California, Geffen School of Medicine, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
360 San Miguel Dr
Newport Beach, CA 92660-5927
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G71209 | CA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
Interoperability endpoints
- scott.forman.p27@direct.newportmed.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Newport Beach, CA
- NPI 1528301710
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1306881842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "SUITE 701",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607853",
"telephone_number": "949-759-3600",
"fax_number": "949-759-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "SUITE 701",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607853",
"telephone_number": "949-759-3600",
"fax_number": "949-759-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORMAN",
"first_name": "SCOTT",
"middle_name": "KEVIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G71209",
"primary": true
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CA",
"license": "G71209",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- Tanya Jeanette Foreman, M.D.
- Forever Young Physical Therapy PC
- Forever Young Rehabilitation LLC
- Jean Irene Forman, MD
- Kristen Carter Forman, M.D.
- Todd Andrew Forman, M.D.
- Foroutan Dentistry, Inc (Newport Beach Dentistry)
- Jared Andrew Forrester, MD
- Denise Fortenberry Fortenberry-Gratias, ACNP-C
- Jennifer Jan Foshee, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.