DR. FERDINAND JOSEPH FORMOSO (D.O.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1801000161

DR. FERDINAND JOSEPH FORMOSO (D.O.) is a healthcare provider. based in Jacksonville, Florida. specializing in INTERVENTIONAL PAIN MANAGEMENT, OSTEOPATHIC MANIPULATIVE MEDICINE, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.O.. They hold a License No. OS10067 (FL). The NPI Number for DR. FERDINAND JOSEPH FORMOSO (D.O.) is 1801000161

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. FERDINAND JOSEPH FORMOSO (D.O.)
NPI
1801000161
Phone
(904) 201-3111
Address
11555 CENTRAL PKWY STE 304
Enumeration Date
9 May 2007
Last Update Date
27 April 2022

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
9042013111
Graduation Year
2001 (25 years ago)
PAC ID
7113001876
Group Practice PAC ID
3072936772
Professional Enrollment ID
I20080220000244
Address ID
FL322242694JA11555PKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

370 INTERVENTIONAL PAIN MANAGEMENT in FL

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Provider Addresses for DR. FERDINAND JOSEPH FORMOSO (D.O.)

  • 11555 CENTRAL PKWY STE 304

    JACKSONVILLE, FL 322242694

    Phone: (904) 201-3111

    Fax: (904) 201-3095

    Type: Mailing

  • 7855, Argyle Forest Boulevard, Jacksonville, Duval County, Florida, 32244, United States

    SUITE 101

    JACKSONVILLE, FL 322445596

    Phone: (904) 282-6331

    Fax: (904) 282-4117

    Type: Mailing

  • 11555, Central Parkway, Eastpark, Jacksonville, Duval County, Florida, 32224, United States

    SUITE 304

    JACKSONVILLE, FL 322242691

    Phone: (904) 265-7755

    Fax: (904) 265-7754

    Type: Location

  • 1361 13th Ave S Ste 170

    Jacksonville Beach, FL 322503235

    Phone: (904) 201-3111

    Fax: (904) 201-3095

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $2,533.

Total Amount is formed as General ($2,533) + Research ($0) + Ownership ($0) = $2,533.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Boston Scientific Corporation ($1,161).

Total Amount

$2,533

General + Research + Ownership

Payments

81

Total payment records

General Amount

$2,533

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-02-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080220000244IInterventional Pain ManagementFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg1,37514$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,32648$0
99214Established patient office or other outpatient visit, 30-39 minutes840200$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg49568$0
99213Established patient office or other outpatient visit, 20-29 minutes391148$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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Provider's Procedures

DR. FERDINAND JOSEPH FORMOSO (D.O.) performs procedures in INTERVENTIONAL PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTFL62311Injections of substances into lower or sacral spine5729
INTERVENTIONAL PAIN MANAGEMENTFL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes8733
INTERVENTIONAL PAIN MANAGEMENTFL97535Self-care or home management training, each 15 minutes4938

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072936772View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationFL
Pain Management, AnesthesiologyFL
Physician AssistantFL

Reviews

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Frequently asked questions

What identifier follows DR. FERDINAND JOSEPH FORMOSO (D.O.) across health systems?
The NPI 1801000161 uniquely identifies DR. FERDINAND JOSEPH FORMOSO (D.O.) in U.S. healthcare data.
Should I treat DR. FERDINAND JOSEPH FORMOSO (D.O.) as an active provider?
Patients and plans typically see DR. FERDINAND JOSEPH FORMOSO (D.O.) as active in the national extract.
What type of care does DR. FERDINAND JOSEPH FORMOSO (D.O.) provide?
DR. FERDINAND JOSEPH FORMOSO (D.O.)'s profile centers on Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. FERDINAND JOSEPH FORMOSO (D.O.)?
The directory associates DR. FERDINAND JOSEPH FORMOSO (D.O.) with Jacksonville, Florida. Check all listed addresses for suites or satellite offices.
Can I export DR. FERDINAND JOSEPH FORMOSO (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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