Individual provider Active NPI

Michael G Forrester, M.D.

  • Otolaryngology Physician
  • Murrieta, CA
National Provider Identifier
1881761310
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G46300 Issued in CA
Practice address
25150 Hancock Ave Ste 204
Murrieta, CA 92562-5989
Phone
(951) 698-8222
Fax
(951) 698-7411
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G46300 CA Primary

Addresses

Primary practice location

25150 Hancock Ave Ste 204
Murrieta, CA 92562-5989

Mailing address

25150 Hancock Ave
Ste 204
Murrieta, CA 92562-5989
Phone (951) 698-8222

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090701000501 CA Practitioner - Otolaryngology 7113078239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 1557260106, shared by 5 NPIs, 97 clinicians
Trivalley Ear Nose ThroatGroup PAC ID 3173813268, 3 clinicians

Practice addresses (Care Compare)

113 S Hwy 101
Warrenton, OR 97146-9314
Phone (503) 861-6500

25150 Hancock Ave
Suite 204
Murrieta, CA 92562-5989
Phone (951) 698-8222

Merit-based Incentive Payment System (MIPS)

Final score
95.06 of 100Reported as group
Quality
90.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46300CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trivalley Ear Nose Throat CurrentSince Mar 21, 2016 Accepting new patients

Locations

25150 Hancock Ave
Ste 204
Murrieta, CA 92562
Phone (951) 698-4148

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1881761310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE",
            "address_2": "STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625989",
            "telephone_number": "951-698-8222",
            "fax_number": "951-698-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625989",
            "telephone_number": "951-698-8222",
            "fax_number": "951-698-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G46300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.