NPI registry status
Active
2026 NPPES data Medical Physician Assistant NPI 1295907988 P.A.
Verify on CMS → Joan Formiglia, P.A.
Medical Physician Assistant in Chester, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,580 in Medical Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 231 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Joan Formiglia, P.A. filed 1,032 Medicare Part D claims in 2023 as a Medical Physician Assistant in Chester, Pennsylvania, prescribing 94% generic.
- 1K
- Part D claims, 2023
- 94%
- generic prescribing
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Joan Formiglia, P.A.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,032 Top 24% higher than 76% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Joan Formiglia, P.A.?
Quality data not reportedPrimary specialty
Medical Physician Assistant
Medicare Part D claims
1,032 4% vs specialty avg
Specialty distribution in Pennsylvania
How Medical Physician Assistant compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Medical Physician Assistant. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Joan Formiglia, P.A. appears in the CMS NPPES registry as a Medical Physician Assistant provider holding P.A. credentials at 1 E BEACON LIGHT LN, Chester, PA, 19013, with a listed phone of (610) 490-3900. NPI 1295907988 was issued on 04/02/2008.
Medicare Part D records for calendar year 2023 show 1,032 prescription claims written by this provider, covering 231 Medicare beneficiaries and totaling roughly $49K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 72.2%.
Medical Physician Assistant is a mid-sized specialty nationwide, with 40,580 enrolled providers across 55 states and an average of 1,077 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1295907988 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | P.A. |
| Gender | Female |
| NPI Issued | 04/02/2008 |
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Joan Formiglia, P.A.. To verify Joan Formiglia, P.A.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Joan Formiglia, P.A. - brand share 6.0%
Medical Physician Assistant average
6% brand-name claims vs 94% generic, on 1,032 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,032
Total Claims
$49K
Total Drug Cost
231
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,039
- Total Day Supply
- 30,407
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $28K
- Generic Drug Cost
- $21K
- Opioid Claims
- 745 (72.2% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 62.8 years
- Avg HCC Risk Score
- 1.77
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 123, 65-74: 85, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Joan Formiglia, P.A. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone Hcl
Oxycodone Hcl
563 claims
- Gabapentin 130
Gabapentin
130 claims
- Morphine Sulfate Er 49
Morphine Sulfate Er
49 claims
- Tizanidine Hcl 43
Tizanidine Hcl
43 claims
- Oxycodone-Acetamin… 40
Oxycodone-Acetaminophen
40 claims
- Oxycontin 35
Oxycontin
35 claims
- Hydrocodone-Acetam… 21
Hydrocodone-Acetaminophen
21 claims
- Ibuprofen 20
Ibuprofen
20 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 563 |
| Gabapentin | 130 |
| Morphine Sulfate Er Morphine Sulfate | 49 |
| Tizanidine Hcl | 43 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 40 |
| Oxycontin Oxycodone Hcl | 35 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 21 |
| Ibuprofen | 20 |
| Meloxicam | 17 |
| Pregabalin | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Medical Physician Assistant Overview
How Joan Formiglia, P.A. fits within the Medical Physician Assistant landscape nationally.
40,580
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider
Joan Formiglia, P.A.'s 1,032 claims are below the specialty average of 1,077.
Nearby Medical Physician Assistant Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Formiglia.
Dr. Kathryn Abadi
PA-C
Wellsboro, PA
Dr. Michael Abbott
PA-C
Pittsburgh, PA
Dr. Patricia Abbott
PA-C
Philadelphia, PA
Paul Abbott
Butler, PA
Dr. Bashera Abdul-Hadi
PA-C
Philadelphia, PA
Compare Medical Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Medical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Joan Formiglia, P.A.'s specialty? ▼
Joan Formiglia, P.A. specializes in Medical Physician Assistant and practices in Chester, Pennsylvania. Credentials: P.A..
How much does Joan Formiglia, P.A. prescribe under Medicare Part D? ▼
In 2023, Joan Formiglia, P.A. wrote 1,032 Medicare Part D claims totaling $49K in drug costs for 231 beneficiaries.
Where is Joan Formiglia, P.A. located? ▼
Joan Formiglia, P.A. is located at 1 E BEACON LIGHT LN, Chester, PA, 19013. Phone: (610) 490-3900.
What is Joan Formiglia, P.A.'s NPI number? ▼
Joan Formiglia, P.A.'s National Provider Identifier (NPI) is 1295907988, issued on 04/02/2008.
Does Joan Formiglia, P.A. prescribe more brand-name or generic drugs? ▼
Joan Formiglia, P.A.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $28K in brand drug costs.
Does Joan Formiglia, P.A. prescribe opioids? ▼
Yes, Joan Formiglia, P.A. had 745 opioid claims in 2023 with an opioid prescribing rate of 72.2%.
How many Medical Physician Assistant providers are there in the US? ▼
There are 40,580 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does Joan Formiglia, P.A. prescribe most often? ▼
Based on 2023 Medicare Part D data, Joan Formiglia, P.A.'s most frequently prescribed drugs include Oxycodone Hcl, Gabapentin, Morphine Sulfate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joan Formiglia, P.A. accept Medicare? ▼
Joan Formiglia, P.A. appears in CMS Medicare data with 1,032 Part D claims and 231 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joan Formiglia, P.A.'s credentials? ▼
Joan Formiglia, P.A.'s NPI is 1295907988 with credentials P.A.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.