Are you Jacob S. Form, D.P.M.? This profile is yours to edit: update your address, phone, photo and services.
Edit this profileAt a glance
- 4129 Franklin Way, Lafayette Hill, PA 19444
About Dr. Form
Jacob S. Form, D.P.M. is a healthcare provider in Lafayette Hill, PA specializing in podiatry. Jacob trained at Temple University School of Podiatric Medicine, graduating in 1980. According to Medicare claims data, Jacob cared for 828 Medicare patients across 2,244 services. The services billed most often include removal of fingernails or toenails, 6 or more nails, removal of fingernails or toenails, 1-5 nails, and removal of noncancer thickened skin growth, 2-4 growths. This provider record is associated with NPI 1356367494.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (215) 292-2637
- Email not available
Practice Locations
4129 FRANKLIN WAY
Lafayette Hill, PA 19444
Conditions Commonly Evaluated or Treated
Within Podiatry generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
- Bunions
- Diabetic foot ulcer
- Foot fungus
- Heel pain
- Ingrown toenails
Circulation
- Hypothermia And Frostbite At Work
Circulation & swelling
- Poor Circulation and Swollen Legs
Deformities
- Charcot Foot
- Claw toe
- Extra bone in foot
- Mallet toe
- Overlapping toes
- Pump bump
Heel & foot pain
- Ball Of Foot Pain
- Heel Spurs
- Sesamoiditis
Injuries
- Foreign object in foot
- Stress Fracture In Foot
- Turf toe
Injuries & trauma
- Ankle fracture
- Ankle sprain
- Broken Foot
- Broken Toe
Joint pain
- Ankle arthritis
- Foot Arthritis
- Gout In Big Toe
Lumps & bumps
- Ganglion Cyst On Foot
- Plantar Fibroma
Nail conditions
- Black Toenail
- Thick Toenails
Nerve pain
- Burning Feet
- Numb toes
Nerve problems
- Diabetic neuropathy
- Foot Drop
- Neuroma In Foot
- Tarsal Tunnel Syndrome
Pain
- Foot cramps
- Outside of foot pain
- Top of foot pain
Pediatric foot problems
- Intoeding
- Sever's Disease
- Toe Walking In Children
Skin & nails
- Dyshidrotic eczema
- Melanoma under toenail
- Pitted keratolysis
- Smelly Feet
- Sweaty Feet
Skin conditions
- Corns And Calluses
- Cracked Heels
- Foot Blisters
- Warts
Structural foot problems
- Flat Feet
- High Arches
Tendon problems
- Achilles Tendon Pain
- Peroneal Tendonitis
- Posterior Tibial Tendonitis
Toe problems
- Hammertoe
- Stiff Big Toe
- Tailor's Bunion
Procedures & services
Most searched procedures
- Bunion surgery
- Custom orthotics
- Foot wart removal
- Heel pain treatment
- Ingrown toenail removal
Ankle surgery
- Ankle arthroscopy
- Ankle fusion
- Ankle Ligament Surgery
- Ankle Replacement
Bracing & immobilization
- Ankle Brace Fitting
- Cast Or Boot Fitting
Cosmetic
- Foot fillers for ball of foot
- Toenail restoration
Diagnostic
- Foot MRI
- Foot skin biopsy
- Toenail biopsy
Foot surgery
- Big Toe Fusion
- Big Toe Joint Replacement
- Bone Spur Removal Foot
- Flat Foot Reconstruction
- Foot Fracture Pinning
- Ganglion Cyst Removal Foot
- Hammertoe Surgery
- Morton's Neuroma Surgery
- Plantar Fascia Release
- Plantar Fibroma Removal
- Tarsal Tunnel Release
Imaging & diagnostics
- Foot Ultrasound
- Foot X-Ray
- Gait analysis
Injections
- Alcohol Injections For Neuroma
- Amniotic injection for foot pain
- Botox for sweaty feet
- Cortisone Shot In Foot
- PRP Therapy For Foot
Nail procedures
- Laser Toenail Fungus Treatment
- Toenail Removal
Non-surgical pain relief
- Shockwave Therapy
- Tenex Procedure For Tendon Pain
Pain relief
- Foot nerve ablation
Procedures
- Foot cyst aspiration
- Foreign object removal from foot
- Swift wart treatment
Routine & preventive care
- Corn And Callus Trimming
- Diabetic Foot Care
- Diabetic Shoe Fitting
- Routine Podiatric Nail Trimming
Surgery
- Claw toe surgery
- Lapiplasty
- Minimally invasive bunion surgery
- Plantar plate repair
- Pump bump surgery
- Sesamoid removal
- Subtalar arthroereisis
- Tailor's Bunion Surgery
- Toe lengthening surgery
Tendon procedures
- Achilles tendon repair
Wound care
- Hyperbaric Oxygen For Foot Wounds
- Skin Graft For Foot Ulcer
- Wound Debridement For Foot Ulcer
Procedures Most Often Billed to Medicare
2,244 services · 828 patients · 9 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Removal of fingernails or toenails, 6 or more nails | Procedure | 11721 |
1,498 | More than most peers in Podiatry |
| Removal of fingernails or toenails, 1-5 nails | Procedure | 11720 |
233 | More often than most peers in Podiatry |
| Removal of noncancer thickened skin growth, 2-4 growths | Procedure | 11056 |
117 | As often as other peers in Podiatry |
| Removal of noncancer thickened skin growth, 1 growth | Procedure | 11055 |
100 | More often than most peers in Podiatry |
| Removal of fingernails or toenails, 6 or more nails | Procedure | 11721 |
72 | More than most peers in Podiatry |
| Trimming of fingernails or toenails | Procedure | 11719 |
66 | As often as other peers in Podiatry |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | Office visit | 99308 |
101 | As often as other peers in Podiatry |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | Office visit | 99307 |
43 | As often as other peers in Podiatry |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | Office visit | 99308 |
14 | As often as other peers in Podiatry |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Trained at Temple University School of Podiatric Medicine 8
Other providers in the same specialty who trained at the same institution.
Class of 1980 at Temple University School of Podiatric Medicine 8
Providers who graduated from the same medical school in the same year.
Also performs Removal of fingernails or toenails, 6 or more nails 8
Providers in PA who bill this service to Medicare most often.
Common questions
What is Jacob S. Form's specialty?
Jacob S. Form is a podiatry in Lafayette Hill, PA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where can I find Jacob S. Form?
Jacob S. Form is listed at 4129 Franklin Way, Lafayette Hill, PA 19444. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Jacob S. Form?
The number on file is (215) 292-2637. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Jacob S. Form's NPI number?
Jacob S. Form's National Provider Identifier is 1356367494. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is Jacob S. Form's education?
Jacob S. Form attended Temple University School of Podiatric Medicine, graduating in 1980. This comes from the CMS National Downloadable File.
CMS public data
How long has Jacob S. Form been practicing?
Jacob S. Form has 46 years experience. Calculated from a graduation year of 1980, reported in the CMS National Downloadable File.
CMS public data
What is Jacob S. Form known for?
According to Medicare billing data, Jacob S. Form performs procedures including removal of fingernails or toenails, 6 or more nails, removal of fingernails or toenails, 1-5 nails and removal of noncancer thickened skin growth, 2-4 growths, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Jacob S. Form confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Jacob S. Form. If this is you, claiming it is free.
Guide.md
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