What is Nathan Formaini's specialty?

Nathan Formaini (NPI 1972730604) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Pittsburgh, PA.

Where does Nathan Formaini practice?

Nathan Formaini practices in Pittsburgh, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1972730604.

How much does Medicare pay Nathan Formaini?

Nathan Formaini (NPI 1972730604) received approximately $89K in total Medicare Part B payments, serving 256 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1972730604

Nathan FormainiD.O.

Orthopedic SurgeryPittsburgh, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

690

Unique beneficiaries

—

Total services

1,682

Distinct HCPCS

Medicare payment

$56K

Peer benchmark

Total Medicare services vs. 974 Orthopedic Surgery providers in PA — above median (cohort median 1,699).

PRESCRIBING · PART D · 2024

Total Rx claims

318

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

11.0%

Top prescribed drugs

Mupirocin81 claims

Prednisone53 claims

Amoxicillin34 claims

Oxycodone Hcl28 claims

Hydrocodone/Acetaminophen23 claims

QUALITY · MIPS · 2024

Final MIPS score

83.8

Quality

70.5

Cost

75.3

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.37%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$792

Payment records

By payment type

Travel and Lodging$400

Food and Beverage$391

Top paying entities

Travel and Lodging$400

Food and Beverage$391

REFERRAL NETWORK

Where Nathan Formaini's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 9 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Jonathan Levy Orthopedic Surgery · Boca Raton, FL	141	1,163
Joel Berman Diagnostic Radiology · Fort Lauderdale, FL	66	125
LONETTA, CHRISTOPHER	47	109
Physicians Outpatient Surgery Center Llc Ambulatory Surgical Center · Ft Lauderdale, FL	40	74
Mark Kravetz Diagnostic Radiology · Fort Lauderdale, FL	33	81
Hugh Jones Diagnostic Radiology · Fort Lauderdale, FL	28	72
Laboratory Corporation Of America Clinical Laboratory · Tampa, FL	27	77
Brian Cohen Anesthesiology · Fort Lauderdale, FL	21	37
Bolidy Ung Anesthesiology · Fort Lauderdale, FL	12	21

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events