Richard Nicholas Formica, MD
NPI 1730163502ActiveIndividual· Internal Medicine, Nephrology· New Haven, CT
Internal Medicine, Nephrology (MD) in New Haven, Connecticut, trained at Boston University School of Medicine (class of 1993). Their prescriptions cost Medicare Part D more than their services did: $431,062 for 3,496 claims, against $45,756 paid for services in 2024. Alexion Pharmaceuticals, Inc. was the largest of 4 companies reporting payments in 2025, $29,737 in all, mostly consulting fees.
Overview
| NPI | 1730163502 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 5, 2005 |
| Last updated in NPPES | Mar 22, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 036848 | CT |
| Hospitalist | 208M00000X | 036848 | CT |
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 - Nephrology (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 235 |
|---|---|
| Services billed | 773 across 12 procedure codes |
| Paid by Medicare | $45,756 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,496 · 6,022 30-day fills |
|---|---|
| Patients | 460 |
| Total drug cost | $431,062 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Boston University School of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Nephrology |
| Telehealth | Offers telehealth |
Medical group
- Yale UniversityNew Haven, CT · 2,645 clinicians
Hospital affiliations
- Bridgeport HospitalBridgeport, CT
- Greenwich Hospital Association -Greenwich, CT
- Lawrence & Memorial HospitalNew London, CT
- Yale-New Haven HospitalNew Haven, CT
Industry payments (Open Payments)
- 2025$29,737 · 7 payments from 4 companies
- 2024$72,508 · 52 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alexion Pharmaceuticals, Inc. | $19,645 | 3 |
| Sanofi-Aventis U.S. LLC | $10,000 | 1 |
| Kamada Ltd. | $90.00 | 1 |
| Travere Therapeutics, Inc. | $2.77 | 2 |
What the 2025 payments were for
- Consulting Fee$19,598 · 2 payments
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$10,000 · 1 payment
- Food and Beverage$137.10 · 2 payments
- Education$2.77 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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