RICHARD NICHOLAS FORMICA (MD) – Nephrology Physician, NPI 1730163502
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
204 NEPHROLOGY in CT
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Provider Addresses for RICHARD NICHOLAS FORMICA (MD)
9805, Northwest Ash Street, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States
300 GEORGE ST 6TH FLOOR
NEW HAVEN, CT 065360805
Phone: (203) 785-7998
Fax: (203) 785-6414
Type: Mailing
800, Howard Avenue, New Haven, New Haven County, Connecticut, 06519, United States
YALE PHYSICIANS BUILDING
NEW HAVEN, CT 06519
Phone: (203) 785-2140
Fax: (203) 785-6414
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $82,858.
Total Amount is formed as General ($82,858) + Research ($0) + Ownership ($0) = $82,858.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($61,398).
Total Amount
$82,858
General + Research + Ownership
Payments
67
Total payment records
General Amount
$82,858
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $61,398 |
| SANOFI-AVENTIS U.S. LLC | $18,087 |
| E.R. Squibb & Sons, L.L.C. | $3,331 |
| Veloxis Pharmaceuticals, Inc. | $42 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060126000550 | I | Nephrology | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 272 | 187 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 188 | 54 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 40 | 39 | $0 |
Insurance plans in this area (ZIP 06536)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CT | |
| H E M A T O L O G Y/ O N C O L O G Y | CT | |
| Internal Medicine, Nephrology | SC | |
| - | CT | |
| - | NC | |
| Internal Medicine | CT | |
| - | CT | |
| Cardiac Surgery | CT | |
| - | CT | |
| - | CT |
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