Gregory Formanek, M.D.
NPI 1568407583 · Hematology & Oncology Physician · East Stroudsburg, PA
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gregory Formanek, M.D. is a Hematology & Oncology Physician provider in East Stroudsburg, PA (NPI 1568407583).
Provider details
- NPI number
- 1568407583
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101232517 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
896 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 406 | $91 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 335 | $15 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 51 | $126 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 49 | $91 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 29 | $121 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 44 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 197 | 60 |
| Prednisone | 102 | 27 |
| Prochlorperazine Maleate | 90 | 54 |
| Abiraterone Acetate | 86 | 11 |
| Oxycodone Hcl | 82 | 12 |
| Ondansetron Hcl | 71 | 32 |
| Levothyroxine Sodium | 70 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$622 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2013-07-22
Frequently asked questions
- What is Gregory Formanek's NPI number?
- Gregory Formanek's National Provider Identifier (NPI) is 1568407583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gregory Formanek's specialty?
- Gregory Formanek is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Gregory Formanek located?
- Gregory Formanek's practice location on file with NPPES is 205 E Brown St, East Stroudsburg, PA 18301-3006.
- What is Gregory Formanek's phone number?
- The practice phone number listed in the NPPES registry for Gregory Formanek is (570) 420-2188.
- Does Gregory Formanek accept Medicare?
- Gregory Formanek is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gregory Formanek's NPI active?
- Yes — Gregory Formanek's NPI (1568407583) is active in the NPPES registry as of the last update on 2013-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.