William Charles Forsythe, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OP00001658 Issued in WA

Practice address

415 N Morain St
Kennewick, WA 99336-2667

Phone

(509) 735-6900

Fax

(509) 735-6914

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WA, MT2 enrollments

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 2

Specialty

Emergency MedicineAlso: General Surgery

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William Forsythe DO PLLCGroup PAC ID 7012058720, 2 clinicians

Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
• Columbia River Home Health Home health agency, Kennewick, WA, CCN 507061
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
• Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330
• Trios Health Hospital, Kennewick, WA, CCN 500053

Merit-based Incentive Payment System (MIPS)

Final score

73.93 of 100Reported as individual

Quality

42.33

Improvement activities

40

Cost

58.35

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.forsythe.1@29013.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William Forsythe, DO, PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kennewick, WA
  • NPI 1003143652

  MT

  Medicare reassignment Care Compare group NPD Authorized official
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• First Step Community Counseling Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kennewick, WA
  • NPI 1548491970
  NPD (past)
• Lourdes Hospital LLC

  • Psychiatric Hospital
  • Richland, WA
  • NPI 1548342181
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Iron Bridge Healthcare, Inc.

  • Home Health Agency
  • Kennewick, WA
  • NPI 1699263079
  Care Compare affiliation
• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• RCCH Trios Health LLC

  • General Acute Care Hospital
  • Kennewick, WA
  • NPI 1578058137
  Care Compare affiliation
• Sunnyside Community Hospital Association

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Care Compare affiliation
• Tri-Cities Home Health, LLC

  • Home Health Agency
  • Kennewick, WA
  • NPI 1679547244
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1982643565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MORAIN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362667",
            "telephone_number": "509-735-6900",
            "fax_number": "509-735-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MORAIN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362667",
            "telephone_number": "509-735-6900",
            "fax_number": "509-735-6914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523514",
            "country_code": "US",
            "telephone_number": "509-946-4611",
            "fax_number": "509-942-2757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1268 Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993524231",
            "country_code": "US",
            "telephone_number": "509-942-2660",
            "fax_number": "509-942-2234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001658",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "OP00001658",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP00001658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0202686",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8246290",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "3075FO",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kristi.mbc@live.com",
            "affiliation": "N",
            "endpointDescription": "biller/coder",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3311 W Clearwater Ave Ste D210",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993362757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kristi.mbc@live.com",
            "affiliation": "N",
            "endpointDescription": "address for billers/coders",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3311 W Clearwater Ave Ste D210",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993362757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meredith Taccetta Fontaine, DC
• Alan Keith Ford, MD
• Jennifer Lynn Fordmeir, ARNP
• Naomi Forrest
• Kelley Lauryn Forsberg
• Fortabs Health Care LLC
• Fortabs Health Care LLC
• Fortabs Health Care LLC
• Brittany NA'Shell Foster-Richardson, LMP
• Krystal Foster, LMT

• Emergency Medicine Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.

Verify at the official NPI Registry.