Erica Formato, MD
NPI 1699161679 · Family Medicine Physician · Harrisonburg, VA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Erica Formato, MD is a Family Medicine Physician provider in Harrisonburg, VA (NPI 1699161679).
Provider details
- NPI number
- 1699161679
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
594 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 232 | $122 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 166 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 92 | $126 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 43 | $162 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 41 | $84 |
| Administration of Influenza Virus VaccineG0008 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 45 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 60 | 21 |
| Losartan Potassium | 60 | 21 |
| Hydrochlorothiazide | 49 | 19 |
| Omeprazole | 49 | 20 |
| Levothyroxine Sodium | 46 | 19 |
| Gabapentin | 45 | 23 |
| Rosuvastatin Calcium | 43 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-07
- Last updated
- 2024-10-10
- Certified
- 2024-10-10
Frequently asked questions
- What is Erica Formato's NPI number?
- Erica Formato's National Provider Identifier (NPI) is 1699161679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Erica Formato's specialty?
- Erica Formato is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Erica Formato located?
- Erica Formato's practice location on file with NPPES is 1790 E Market St Ste 64b, Harrisonburg, VA 22801-5197.
- What is Erica Formato's phone number?
- The practice phone number listed in the NPPES registry for Erica Formato is (540) 564-5666.
- Does Erica Formato accept Medicare?
- Erica Formato is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Erica Formato's NPI active?
- Yes — Erica Formato's NPI (1699161679) is active in the NPPES registry as of the last update on 2024-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.