PHILIP FORMICA (MD) – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1184883209
Advanced Heart Failure and Transplant Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
75 ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY in MA
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Provider Addresses for PHILIP FORMICA (MD)
Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States
LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 018050001
Phone: (781) 744-8460
Fax: (781) 744-5261
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2013-11-07
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 |
|---|---|---|---|---|
| I20131107000707 | I | Advanced Heart Failure And Transplant Cardiology | MA | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 799 | 730 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 431 | 423 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 337 | 233 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 335 | 154 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 202 | 177 | $0 |
Insurance plans in this area (ZIP 01805)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 137 | 135 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 765 | 546 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| G A S T R O E N T E R O L O G Y | NY | |
| Physician Assistant | MA |
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