Philip Formica, MD
NPI 1184883209ActiveIndividual· Internal Medicine, Advanced Heart Failure and Transplant Cardiology· Burlington, MA
Internal Medicine, Advanced Heart Failure and Transplant Cardiology (MD) with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc and 2 other groups, practicing in Burlington, Massachusetts. Their prescriptions cost Medicare Part D more than their services did: $738,934 for 1,833 claims, against $144,446 paid for services in 2024. Lists Beth Israel Deaconess Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1184883209 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 4, 2008 |
| Last updated in NPPES | Apr 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Advanced Heart Failure and Transplant Cardiology Primary | 207RA0001X | 256905 | MA |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 256905 | MA |
| Nuclear Medicine, Nuclear Cardiology | 207UN0901X | 256905 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Advanced Heart Failure and Transplant Cardiology (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,455 |
|---|---|
| Services billed | 2,720 across 42 procedure codes |
| Paid by Medicare | $144,446 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,833 · 4,254 30-day fills |
|---|---|
| Patients | 312 |
| Total drug cost | $738,934 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Advanced Heart Failure And Transplant Cardiology |
| Secondary specialties | Cardiovascular Disease (Cardiology) |
| Telehealth | Offers telehealth |
Medical groups
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr IncBoston, MA · 1,740 clinicians
- Lahey Clinic IncBurlington, MA · 1,381 clinicians
- Beth Israel Lahey Health Primary Care, IncSouth Hamilton, MA · 353 clinicians
Hospital affiliations
- Beth Israel Deaconess Medical CenterBoston, MA
- Emerson Hospital -W Concord, MA
- Lahey Hospital & Medical Center, BurlingtonBurlington, MA
- Northeast Hospital CorporationBeverly, MA
- Winchester HospitalWinchester, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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