Richard Formica, MD
Nephrology Physician · New Haven, CT
Richard Formica, MD is a nephrology physician with a practice address in New Haven, Connecticut, and NPI 1730163502, issued on Dec 5, 2005. Check the license (Connecticut 036848, as entered in NPPES) on the Connecticut Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Richard Formica
- Credential
- MD
- Primary taxonomy
- Nephrology Physician 207RN0300X
- License number
- 036848 CT
Self-reported in NPPES; status is on the state search - Practice location
- 800 Howard Ave, New Haven, CT 06519
- Phone
- (203) 785-2140
- Enumerated
- Dec 5, 2005
- Entity
- Type 1 · individual
Also registered at 800 Howard Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Lynn Acton, MSSpeech-Language Pathologist1205817889
- Joseph Agostini, MDGeriatric Medicine (Internal Medicine) Physician1104832146
- Nita Ahuja, M.D.Surgery Physician1093779308
- Christina Allen, MDOrthopaedic Surgery Physician1841242351
Verify Richard Formica in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersConnecticut Medical Examining Board
Search for license 036848Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
2.3 times the Medicare Part D claims of the average nephrology physician in 2024
3,496 Medicare Part D claims for 460 beneficiaries, against an average of 1,511 among the 8,473 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.
Most prescribed
- Prednisone534 claims
- Amlodipine Besylate243 claims
- Famotidine236 claims
- Carvedilol209 claims
- Cinacalcet Hcl144 claims
- Atorvastatin Calcium135 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 Medicare quality score for 2023: 73.6 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: $72,507.91
48 payments, mostly food and beverage; the largest payer was Alexion Pharmaceuticals, Inc.. The 6,365 providers of this specialty with any payment received $3,068.36 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.
One hospital or facility affiliation
- Yale UniversityNew Haven, CT
Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Nephrology Physician providers in Connecticut
There are 142 nephrology physician records in Connecticut.
Other nephrology physician records in Connecticut
- Mervet Abouelkair, M.D.New Britain, CT1740295112
- Ali Abu-Alfa, MDNew Haven, CT1841274610
- Nancy Adams, M.D.Farmington, CT1770588592
- Bayode Afolalu, M.D.Orange, CT1548442726
- Feras Al Shami, M.D.New Britain, CT1982086765
- Robert Alpern, MDNew Haven, CT1477785285
- Peter Aronson, MDNew Haven, CT1124002985
- Shehryar Ashraf, M.D.Farmington, CT1982966834
- Revekka BabayevStamford, CT1992022008
- David Baggish, M.D.Middletown, CT1598748808
Common questions
What is Richard Formica, MD's NPI number?
Richard Formica, MD's National Provider Identifier (NPI) is 1730163502, issued on Dec 5, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Richard Formica, MD located?
The NPPES record lists a practice address at 800 Howard Ave, New Haven, CT, 06519. Phone: (203) 785-2140. Providers update this record themselves, so call before visiting.
How can I verify Richard Formica, MD's license?
NPPES lists Connecticut license number 036848, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Richard Formica, MD prescribe under Medicare Part D?
In 2024, Richard Formica, MD had 3,496 Medicare Part D claims for 460 beneficiaries; the average among nephrology physician prescribers was 1,511. Part D covers Medicare prescriptions only.
What is Richard Formica, MD's Medicare quality score?
The 2023 MIPS final score is 73.6 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), loaded Aug 27, 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.
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 Aug 27, 2026.