Erica Lauren Formato, MD
NPI 1699161679ActiveIndividual· Family Medicine· Harrisonburg, VA
Family Medicine (MD) in Harrisonburg, Virginia, trained at Eastern Virginia Medical School (class of 2015). Their prescriptions cost Medicare Part D more than their services did: $87,178 for 1,575 claims, against $46,016 paid for services in 2024.
Overview
| NPI | 1699161679 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 7, 2015 |
| Last updated in NPPES | Oct 10, 2024 |
| Certified by provider | Oct 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0101264179 | VA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 145 |
|---|---|
| Services billed | 764 across 53 procedure codes |
| Paid by Medicare | $46,016 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,575 · 3,337 30-day fills |
|---|---|
| Patients | 187 |
| Total drug cost | $87,178 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | Eastern Virginia Medical School |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Family Practice |
Medical groups
- Sentara Medical GroupNorfolk, VA · 1,408 clinicians
- Rmh Medical Group LLCRockingham, VA · 256 clinicians
Hospital affiliations
- Augusta HealthFishersville, VA
- Sentara Martha Jefferson HospitalCharlottesville, VA
- Sentara Rmh Medical CenterHarrisonburg, VA
- University of Virginia Medical CenterCharlottesville, VA
Other facilities
- Amedisys Home Health CareHome health agency · Staunton, VA
- Augusta Home Care,Home health agency · Fishersville, VA
- Sentara Home Care ServicesHome health agency · Harrisonburg, VA
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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All 55 family medicine physicians in Harrisonburg · All family medicine physicians in Virginia