Nathan Formaini, D.O.
NPI 1972730604 · Orthopaedic Surgery Physician · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nathan Formaini, D.O. is a Orthopaedic Surgery Physician provider in Pittsburgh, PA (NPI 1972730604).
Provider details
- NPI number
- 1972730604
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OS12496 (FL)
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
16 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
766 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) |
|---|---|---|
| X-Ray of Shoulder, Minimum of 2 Views73030 | 246 | $32 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 175 | $66 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 154 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 62 | $122 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 40 | $106 |
| X-Ray of Elbow, Minimum of 3 Views73080 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mupirocin | 81 | 78 |
| Prednisone | 53 | 52 |
| Amoxicillin | 34 | 19 |
| Oxycodone Hcl | 28 | 19 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 23 | 15 |
| Ibuprofen | 22 | 12 |
| Methylprednisolone | 21 | 21 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$792 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
- 2009-06-21
- Last updated
- 2022-07-05
- Certified
- 2022-07-05
Frequently asked questions
- What is Nathan Formaini's NPI number?
- Nathan Formaini's National Provider Identifier (NPI) is 1972730604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nathan Formaini's specialty?
- Nathan Formaini is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Nathan Formaini located?
- Nathan Formaini's practice location on file with NPPES is 200 Delafield Rd Ste 1040, Pittsburgh, PA 15215-3234.
- What is Nathan Formaini's phone number?
- The practice phone number listed in the NPPES registry for Nathan Formaini is (412) 782-3990.
- Does Nathan Formaini accept Medicare?
- Nathan Formaini is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nathan Formaini's NPI active?
- Yes — Nathan Formaini's NPI (1972730604) is active in the NPPES registry as of the last update on 2022-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.