Philip Formica, MD
NPI 1184883209 · Advanced Heart Failure and Transplant Cardiology Physician · Burlington, MA
Enrolled with Medicare as Practitioner - Advanced Heart Failure and Transplant Cardiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Philip Formica, MD is a Advanced Heart Failure and Transplant Cardiology Physician provider in Burlington, MA (NPI 1184883209).
Provider details
- NPI number
- 1184883209
- Entity type
- Individual
- Primary specialty
- Advanced Heart Failure and Transplant Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 256905 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,625 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 577 | $9 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 309 | $72 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 301 | $132 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 277 | $84 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 252 | $15 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 196 | 76 |
| Apixabanbrand: Eliquis | 180 | 44 |
| Amlodipine Besylate | 140 | 49 |
| Furosemide | 140 | 55 |
| Atorvastatin Calcium | 118 | 43 |
| Lisinopril | 99 | 35 |
| Spironolactone |
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-04
- Last updated
- 2019-04-25
Frequently asked questions
- What is Philip Formica's NPI number?
- Philip Formica's National Provider Identifier (NPI) is 1184883209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philip Formica's specialty?
- Philip Formica is listed in the NPPES registry with a primary specialty of Advanced Heart Failure and Transplant Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Philip Formica located?
- Philip Formica's practice location on file with NPPES is 41 Mall Road, Burlington, MA 01805-0001.
- What is Philip Formica's phone number?
- The practice phone number listed in the NPPES registry for Philip Formica is (781) 744-8460.
- Does Philip Formica accept Medicare?
- Philip Formica is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Philip Formica's NPI active?
- Yes — Philip Formica's NPI (1184883209) is active in the NPPES registry as of the last update on 2019-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.