Nathan Formaini, D.O.
Orthopaedic Surgery Physician · Pittsburgh, PA
Nathan Formaini, D.O. is an orthopaedic surgery physician with a practice address in Pittsburgh, Pennsylvania, and NPI 1972730604, issued on Jun 21, 2009. Check the license (Pennsylvania OS017449, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Nathan Formaini
- Credential
- D.O.
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License numbers
- OS017449 PA
OS12496 FL
Self-reported in NPPES; status is on the state search - Practice location
- 200 Delafield RD Ste 1040, Pittsburgh, PA 15215
- Phone
- (412) 782-3990
- Enumerated
- Jun 21, 2009
- Record last updated
- Jul 5, 2022
- Medicare enrollment
- Enrolled (PECOS I20150805007248); accepts Medicare assignment
- Medical or professional school
- Lake Erie College Of Osteopathic Medicine, Erie, 2009
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 1,253 in Pennsylvania → Look up another NPI →
Also registered at 200 Delafield RD Ste 1040
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ashley Baird, PAPhysician Assistant1538461736
- Wendy Fusan, CRNPNurse Practitioner1891980199
- Lori GaydoshSurgical Physician Assistant1699817981
- Charles HilemanSurgical Physician Assistant1083948772
- Joseph Kromka, MDAdult Reconstructive Orthopaedic Surgery Physician1811486376
- Lauren Labra, PA-CSurgical Physician Assistant1679017024
Verify Nathan Formaini in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license OS017449Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
10% more Medicare Part D claims than the average orthopaedic surgery physician in 2024
379 Medicare Part D claims for 213 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 66 claims were for opioids.
Most prescribed
- Mupirocin81 claims
- Prednisone53 claims
- Amoxicillin34 claims
- Oxycodone Hcl28 claims
- Hydrocodone-Acetaminophen23 claims
- Ibuprofen22 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 practice group's MIPS final score for 2023 (Medicare payment program): 78.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $791.94
6 payments; by number, the most common kind was food and beverage; the largest payer was Encore Medical, LP. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Phoenix Rehabilitation And Health Services IncCranberry Township, PA
- Upmc Community Medicine IncPittsburgh, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nathan Formaini among 1,253 orthopaedic surgery physician records in Pennsylvania
Nathan Formaini, D.O. is one of 1,253 orthopaedic surgery physician records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 62% of them.
- NPI issued2009 · 62% of these records are older, 36% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2009 · median 2003 among the 777 with a school on file
- Record last updated2022 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in Pennsylvania
There are 1,253 orthopaedic surgery physician records in Pennsylvania.
All 1,253 in Pennsylvania → Every provider in Pittsburgh → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- James Bradley, MDPittsburgh, PA 152151487626149
- Charles BurkePittsburgh, PA 152151356313076
- Franklin ChouPittsburgh, PA 152151811199318
- Craig MauroPittsburgh, PA 152151275736662
- Stephen Bayer, MDPittsburgh, PA 152131548882798
- Colin Beckwitt, MD, PHDPittsburgh, PA 152131679102164
- Emmett Gannon, M.D.Pittsburgh, PA 152131952783532
- Zachary Herman, MDPittsburgh, PA 152131932789526
Common questions
What is Nathan Formaini, D.O.'s NPI number?
Nathan Formaini, D.O.'s National Provider Identifier (NPI) is 1972730604, issued on Jun 21, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Nathan Formaini, D.O. located?
The NPPES record lists a practice address at 200 Delafield RD Ste 1040, Pittsburgh, PA, 15215. Phone: (412) 782-3990. Providers update this record themselves, so call before visiting.
How can I verify Nathan Formaini, D.O.'s license?
NPPES lists Pennsylvania license number OS017449, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Nathan Formaini, D.O. prescribe under Medicare Part D?
In 2024, Nathan Formaini, D.O. had 379 Medicare Part D claims for 213 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Nathan Formaini, D.O.'s MIPS final score?
The 2023 MIPS final score is 78.5 of 100, reported for the practice group. 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.