Erica Lauren Formato, MD
Family Medicine Physician · Harrisonburg, VA
Erica Lauren Formato, MD is a family medicine physician with a practice address in Harrisonburg, Virginia, and NPI 1699161679, issued on Apr 7, 2015. Check the license (Virginia 0101264179, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Erica Lauren Formato
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 0101264179 VA
Self-reported in NPPES; status is on the state search - Practice location
- 1790 E Market St Ste 64B, Harrisonburg, VA 22801
- Phone
- (540) 564-5666
- Enumerated
- Apr 7, 2015
- Record last updated
- Oct 10, 2024
- Fax
- (844) 501-7984
- Medicare enrollment
- Enrolled (PECOS I20180725002723); accepts Medicare assignment
- Medical or professional school
- Eastern Virginia Medical School, 2015
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 4,137 in Virginia → Look up another NPI →
Also registered at 1790 E Market St Ste 64B
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brooke Ashley, NPAcute Care Nurse Practitioner1750831731
- Pamela Bailey, PA-CMedical Physician Assistant1043222086
- Ashley Hudson, NPFamily Medicine Physician1770316150
- Melissa Kollman, P.A.Physician Assistant1366841322
- Trent Mazer, MDInternal Medicine Physician1588158109
- Gilbert Rice, DOFamily Medicine Physician1033347620
Verify Erica Lauren Formato in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101264179Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
56% fewer Medicare Part D claims than the average family medicine physician in 2024
1,575 Medicare Part D claims for 187 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. 46 claims were for opioids.
Most prescribed
- Atorvastatin Calcium60 claims
- Losartan Potassium60 claims
- Hydrochlorothiazide49 claims
- Omeprazole49 claims
- Levothyroxine Sodium46 claims
- Gabapentin45 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Rmh Medical Group LLCStaunton, VA
- Sentara Medical GroupSuffolk, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Erica Lauren Formato among 4,137 family medicine physician records in Virginia
Erica Lauren Formato, MD is one of 4,137 family medicine physician records with a practice address in Virginia. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 76% of them.
- NPI issued2015 · 76% of these records are older, 22% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2015 · median 2004 among the 2,426 with a school on file
- Record last updated2024 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
43 family medicine physician records list a practice address in Harrisonburg
They are 43 of the 1,385 NPPES records with a practice address in Harrisonburg, and 4,137 family medicine physician records in Virginia.
All 4,137 in Virginia → Every provider in Harrisonburg → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Jeffrey Ashby, M.D.Harrisonburg, VA 228011053312702
- James Evans, M.D.Harrisonburg, VA 228011043212962
- John FinchHarrisonburg, VA 228011245232636
- Stephen GodshallHarrisonburg, VA 228011669474060
- James Haley, MDHarrisonburg, VA 228011467454082
- Anthony Iudica, M.D.Harrisonburg, VA 228011265433932
- Kathleen Iudica, M.D.Harrisonburg, VA 228011821099508
- Kerry LeichtyHarrisonburg, VA 228011720080161
Common questions
What is Erica Lauren Formato, MD's NPI number?
Erica Lauren Formato, MD's National Provider Identifier (NPI) is 1699161679, issued on Apr 7, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Erica Lauren Formato, MD located?
The NPPES record lists a practice address at 1790 E Market St Ste 64B, Harrisonburg, VA, 22801. Phone: (540) 564-5666. Providers update this record themselves, so call before visiting.
How can I verify Erica Lauren Formato, MD's license?
NPPES lists Virginia license number 0101264179, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Erica Lauren Formato, MD prescribe under Medicare Part D?
In 2024, Erica Lauren Formato, MD had 1,575 Medicare Part D claims for 187 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Erica Lauren Formato, MD's MIPS final score?
The 2023 MIPS final score is 95.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.