Philip Formica, MD
Advanced Heart Failure and Transplant Cardiology Physician · Burlington, MA
Philip Formica, MD is an advanced heart failure and transplant cardiology physician with a practice address in Burlington, Massachusetts, and NPI 1184883209, issued on Jun 4, 2008. Check the license (Massachusetts 256905, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.
- Name
- Philip Formica
- Credential
- MD
- Primary taxonomy
- Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X
- License number
- 256905 MA
Self-reported in NPPES; status is on the state search - Practice location
- 41 Mall Road, Burlington, MA 01805
- Phone
- (781) 744-8460
- Enumerated
- Jun 4, 2008
- Record last updated
- Apr 25, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (781) 744-5261
- Medicaid ID
- 110097738A MA
- Medicare enrollment
- Enrolled (PECOS I20131107000707); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest advanced heart failure and transplant cardiology physician records → All 38 in Massachusetts → Look up another NPI →
Also registered at 41 Mall Road
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Heideh Ahari, M.D.Diagnostic Radiology Physician1972600419
- Celynne Ambrose, NPAdult Health Nurse Practitioner1326288606
- Geetha Athappilly, MDNeuro-ophthalmology Physician1730235318
- Temitope Awosogba, M.D.Obstetrics & Gynecology Physician1003235326
- Zafeer Baber, M.D.Pain Medicine (Anesthesiology) Physician1336431527
- Kristen Bilodeau, NPNurse Practitioner1194861419
Verify Philip Formica in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
Search for license 256905Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
7% fewer Medicare Part D claims than the average advanced heart failure and transplant cardiology physician in 2024
1,833 Medicare Part D claims for 312 beneficiaries, against an average of 1,965 among the 1,124 providers of this specialty who prescribed in Part D. Brand-name drugs were 20% of claims.
Most prescribed
- Metoprolol Succinate196 claims
- Eliquis180 claims
- Amlodipine Besylate140 claims
- Furosemide140 claims
- Atorvastatin Calcium118 claims
- Lisinopril99 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.
Bills Medicare through 3 group practices
- Beth Israel Lahey Health Primary Care, IncLynnfield, MA
- Harvard Medical Faculty Phys AT Beth Israel Deaconess Med Ctr IncBoston, MA
- Lahey Clinic IncPeabody, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Philip Formica among 38 advanced heart failure and transplant cardiology physician records in Massachusetts
Philip Formica, MD is one of 38 advanced heart failure and transplant cardiology physician records with a practice address in Massachusetts. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 29% of them.
- NPI issued2008 · 29% of these records are older, 55% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 89% of these records are
- Graduated2006 · median 2008 among the 34 with a school on file
- Record last updated2019 · 45% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RA0001X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Advanced Heart Failure and Transplant Cardiology Physician providers in Massachusetts
There are 38 advanced heart failure and transplant cardiology physician records in Massachusetts.
All 38 in Massachusetts → Every provider in Burlington → Advanced Heart Failure and Transplant Cardiology Physician nationwide →
The 8 advanced heart failure and transplant cardiology physician records with the nearest ZIP codes
- Amy French, M.D.Burlington, MA 018051841511946
- Richard Patten, M.D.Burlington, MA 018051992813042
- Sachin Shah, M.D.Burlington, MA 018051467619130
- David Venesy, M.D.Burlington, MA 018051841302387
- Krina Patel, MDWorcester, MA 016551356847263
- David Denofrio, M.D.Boston, MA 021111679679997
- Cara GuardinoBoston, MA 021111881135051
- Jeong Hwan KimBoston, MA 021111982024295
Common questions
What is Philip Formica, MD's NPI number?
Philip Formica, MD's National Provider Identifier (NPI) is 1184883209, issued on Jun 4, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Philip Formica, MD located?
The NPPES record lists a practice address at 41 Mall Road, Burlington, MA, 01805. Phone: (781) 744-8460. Providers update this record themselves, so call before visiting.
How can I verify Philip Formica, MD's license?
NPPES lists Massachusetts license number 256905, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Philip Formica, MD prescribe under Medicare Part D?
In 2024, Philip Formica, MD had 1,833 Medicare Part D claims for 312 beneficiaries; the average among advanced heart failure and transplant cardiology physician prescribers was 1,965. 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.
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.