NPPES file of Aug 9, 2026

Marisa Formica, MD

Sports Medicine (Family Medicine) Physician · Glen Cove, NY

Marisa Formica, MD is a sports medicine (family medicine) physician with a practice address in Glen Cove, New York, and NPI 1568759041, issued on Jul 5, 2011. Check the license (New York 280850, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1568759041
Name
Marisa Formica
Credential
MD
Primary taxonomy
Sports Medicine (Family Medicine) Physician 207QS0010X
License number
280850 NY
Self-reported in NPPES; status is on the state search
Practice location
101 Saint Andrews LN, Glen Cove, NY 11542
Phone
(516) 674-7631
Enumerated
Jul 5, 2011
Record last updated
Jan 16, 2026
Medicare enrollment
Enrolled (PECOS I20150929000405); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest sports medicine (family medicine) physician records → All 97 in New York → Look up another NPI →

Also registered at 101 Saint Andrews LN

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Michael Abbondondolo, PAPhysician Assistant1417077488
  2. Bilal Abou Al Ardat, MDStudent in an Organized Health Care Education/Training Program1609636356
  3. Olumide Adeyekun, MDStudent in an Organized Health Care Education/Training Program1023767134
  4. Malgorzata Adler, M.D.Anesthesiology Physician1295731263
  5. Eugene AhnStudent in an Organized Health Care Education/Training Program1467157362
  6. George Alvarez, MDFamily Medicine Physician1952939506

Verify Marisa Formica in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 280850    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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89% fewer Medicare Part D claims than the average sports medicine (family medicine) physician in 2024

91 Medicare Part D claims for 35 beneficiaries, against an average of 855 among the 2,237 providers of this specialty who prescribed in Part D.

  1. Marisa Formica91
  2. Specialty average855

Most prescribed

  1. Diclofenac Sodium76 claims
  2. Meloxicam11 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.

Industry payments in 2024: $223.19

2 payments; by number, the most common kind was food and beverage; the largest payer was Alkermes, Inc. The 1,218 providers of this specialty with any payment received $781.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Marisa Formica$223.19
  2. Specialty average$781.49

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. MM Medical Service PCForest Hills, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Marisa Formica among 97 sports medicine (family medicine) physician records in New York

Marisa Formica, MD is one of 97 sports medicine (family medicine) physician records with a practice address in New York. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 43% of them.

  • NPI issued2011 · 43% of these records are older, 56% newer
  • In a Medicare fileYes · 86% of these records are
  • In the CMS Doctors and Clinicians fileYes · 81% of these records are
  • Graduated2009 · median 2014 among the 79 with a school on file
  • Record last updated2026 · 44% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QS0010X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Family Medicine) Physician providers in New York

There are 97 sports medicine (family medicine) physician records in New York.

All 97 in New York → Every provider in Glen Cove → Sports Medicine (Family Medicine) Physician nationwide →

The 8 sports medicine (family medicine) physician records with the nearest ZIP codes

  1. Samantha Stuek, MDUniondale, NY 115531992299218
  2. Munif Hussain, D.O.Cedarhurst, NY 115161598184756
  3. Thomas Scandalis, DOOld Westbury, NY 115681750370037
  4. Christian Muller, DORockville Centre, NY 115701225520059
  5. Anubhav Agarwal, MDOceanside, NY 115721568709244
  6. Camilo Villalobos, M.D.Elmhurst, NY 113731962889832
  7. Kishi Patel, DOJackson Heights, NY 113721265992242
  8. Justin Classie, M.D.Fresh Meadows, NY 113651588896708

Common questions

What is Marisa Formica, MD's NPI number?

Marisa Formica, MD's National Provider Identifier (NPI) is 1568759041, issued on Jul 5, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Marisa Formica, MD located?

The NPPES record lists a practice address at 101 Saint Andrews LN, Glen Cove, NY, 11542. Phone: (516) 674-7631. Providers update this record themselves, so call before visiting.

How can I verify Marisa Formica, MD's license?

NPPES lists New York license number 280850, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Marisa Formica, MD prescribe under Medicare Part D?

In 2024, Marisa Formica, MD had 91 Medicare Part D claims for 35 beneficiaries; the average among sports medicine (family medicine) physician prescribers was 855. Part D covers Medicare prescriptions only.

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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.