Tara Marie Formisano, DO
NPI 1548720121ActiveIndividual· Obstetrics & Gynecology· Beaufort, SC
Obstetrics & Gynecology (DO) with Baystate Medical Practices Inc and 1 other group, practicing in Beaufort, South Carolina. Mostly services rather than prescriptions: Medicare paid $5,061 for 11 patients in 2024, with only 41 Part D claims. Astellas Pharma US Inc reported $32.50 in payments in 2025, mostly food and beverage. Lists Beaufort County Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1548720121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 21, 2019 |
| Last updated in NPPES | Jun 23, 2026 |
| Certified by provider | Jun 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | 94477 | SC |
| Family Medicine | 207Q00000X | 1015917 | 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 - Obstetrics/Gynecology (MA); Practitioner - Obstetrics/Gynecology (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 16 across 9 procedure codes |
| Paid by Medicare | $5,061 |
Part D prescriptions in 2024
| Prescriptions (claims) | 41 · 68 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $3,289 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Obstetrics/Gynecology |
Medical groups
- Baystate Medical Practices IncSpringfield, MA · 1,369 clinicians
- Beaufort Jasper Hampton Comprehensive Health Services IncRidgeland, SC · 37 clinicians
Hospital affiliation
- Beaufort County Memorial HospitalBeaufort, SC
Industry payments (Open Payments)
- 2025$32.50 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $32.50 | 1 |
What the 2025 payments were for
- Food and Beverage$32.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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