Kelly E. Fordham, PA-C
- Medicare patients, 2024
- 100
- Part D claims, 2024
- 228
- MIPS score, 2024
- 97
- Industry payments
- $413
- Affiliated sites
- 1
- Practice address
- 801 York St, Manitowoc, WI 54220
- Practice phone
- Call (205) 877-9773
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Village Dermatology
Manitowoc, Wisconsin
Find Kelly Fordham's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Kelly E. Fordham is a physician assistant in Manitowoc, Wisconsin
Kelly Fordham practices at Village Dermatology in Manitowoc, Wisconsin.
Kelly Fordham's NPI, 1578983433, was assigned on April 18, 2014. Kelly Fordham holds Alabama license PA.961.
- NPI
- 1578983433NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6709000433
- NPI enumeration date
- April 18, 2014
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (205) 877-9773
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 39
- Medical school graduation
- 2013
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Kelly E. Fordham practices at Village Dermatology in Manitowoc, Wisconsin
Kelly Fordham's primary practice is Village Dermatology, at 801 York St, Manitowoc, WI 54220 in Manitowoc County. The practice phone is (205) 877-9773.
- Village Dermatology801 York St, Manitowoc, WI 54220 · Manitowoc CountyPhone(205) 877-9773
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Kelly E. Fordham is affiliated with 2 sites of care and 2 medical groups
Kelly Fordham's primary practice is Village Dermatology in Manitowoc, Wisconsin. The medical group on file is Forefront Dermatology. Dmand AI also links Kelly Fordham to 1 more group practice or clinic and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Kelly E. Fordham's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Kelly Fordham practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Village Dermatology | Available with a free account |
| +1 more site and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Kelly E. Fordham is one of 3,127 physician assistants in Wisconsin
Physician assistant is Kelly Fordham's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Kelly Fordham is licensed in Alabama.
Specialties and state licenses
- Physician assistant, AlabamaPrimary
Physician assistants near Kelly Fordham
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Kelly E. Fordham treated 100 Medicare patients in 2024, average age 74
CMS counts 100 Medicare patients who saw Kelly Fordham in 2024. The largest group is 65 to 74, with 56 patients. 75% of them have high cholesterol, and 74% have high blood pressure. Their average risk score is 0.88, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Kelly Fordham's median patient age at 42, with 72% women.
Kelly Fordham's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Kelly Fordham's Medicare patients by sex, 2024
- Women6464%
- Men3636%
Chronic conditions among Kelly Fordham's Medicare patients, 2024
- High cholesterol75%
- High blood pressure74%
- Arthritis50%
- Anxiety23%
- Ischemic heart disease23%
- Mood disorders18%
- Atrial fibrillation17%
- Depression16%
Share of Medicare patients with each condition. A patient can have several.
Kelly Fordham's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 42
Patient panel by sex, all payers
- Women72%
- Men28%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Kelly E. Fordham wrote 228 Medicare Part D claims in 2024
In 2024, Kelly Fordham wrote 228 Medicare Part D claims for 96 patients. 85% of them were for generic drugs.
Kelly Fordham's Part D claims by kind of drug, 2024
- Generic193 claims85%
- Brand-name35 claims15%
Drug classes CMS tracks in Kelly Fordham's Part D claims, 2024
- Antibiotics5%11 of 228 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
Kelly E. Fordham scored 97 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Kelly Fordham for performance year 2024, reported as part of a group. Kelly Fordham accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Kelly Fordham's MIPS scores, performance year 2024
- 97of 100Final score
- 97of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Kelly E. Fordham received $413 in industry payments in 2025
CMS Open Payments shows 18 general payments to Kelly Fordham from 9 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. Novartis Pharmaceuticals Corporation paid the most, $81.
Companies that paid Kelly Fordham the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Kelly E. Fordham's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Kelly E. Fordham
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Kelly E. Fordham's NPI number?
Kelly E. Fordham's NPI number is 1578983433. It was assigned on April 18, 2014, and it is active in the NPI Registry.
What does Kelly E. Fordham specialize in?
Kelly E. Fordham is a physician assistant in Manitowoc, Wisconsin. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Kelly E. Fordham practice?
Kelly Fordham practices at 801 York St, Manitowoc, WI 54220. Kelly Fordham's primary practice is Village Dermatology in Manitowoc, Wisconsin. Dmand AI also links Kelly Fordham to 1 group practice or clinic and 1 medical group.
What is Kelly E. Fordham's office phone number?
The practice phone on file for Kelly Fordham is (205) 877-9773.
What is Kelly E. Fordham's medical license number?
Kelly Fordham holds Alabama license PA.961.
What medical group is Kelly E. Fordham part of?
Kelly Fordham is linked to Forefront Dermatology. Dmand AI links Kelly Fordham to 1 more medical group.
Does Kelly E. Fordham accept Medicare?
Yes. CMS lists Kelly Fordham as accepting Medicare assignment.
What is Kelly E. Fordham's MIPS score?
Kelly Fordham's MIPS final score for performance year 2024 is 97 out of 100, reported as part of a group.
How many Medicare patients does Kelly E. Fordham see?
CMS counts 100 Medicare patients who saw Kelly Fordham in 2024, with an average age of 74.
Has Kelly E. Fordham received payments from drug or device companies?
CMS Open Payments shows $413 in general payments to Kelly Fordham from 9 companies from 2025 to 2025. The largest total came from Novartis Pharmaceuticals Corporation.
How long has Kelly E. Fordham been practicing?
Kelly Fordham graduated from medical school in 2013, 13 years ago.
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