Teri S. Formanek, M.D.
Orthopaedic Surgery Physician · Winterset, IA
Teri S. Formanek, M.D. is an orthopaedic surgery physician with a practice address in Winterset, Iowa, and NPI 1982644993, issued on Jun 7, 2006. Check the license (Iowa 26239, as entered in NPPES) on the Iowa Board of Medicine; the Medicare figures below come from public CMS files.
- Name
- Teri S. Formanek
- Credential
- M.D.
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 26239 IA
Self-reported in NPPES; status is on the state search - Practice location
- 300 W Hutchings St, Winterset, IA 50273
- Phone
- (515) 462-2373
- Enumerated
- Jun 7, 2006
- Record last updated
- Feb 22, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicaid ID
- 2083659 IA
- Medicare enrollment
- Enrolled (PECOS I20100602000422); accepts Medicare assignment
- Medical or professional school
- University Of Iowa, Rj & L Carver College Of Medicine, 1986
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 257 in Iowa → Look up another NPI →
Also registered at 300 W Hutchings St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Clarice Blanchard, PA-CPhysician Assistant1871605238
- Sherri Broadbent, DOFamily Medicine Physician1487766903
- Stephan Cooper, MDDiagnostic Radiology Physician1780796185
- Allan Faidley, LISWCounselor1336204205
- Kevin Gabbert, LISWClinical Social Worker1003812827
- Laura Hagen, ARNPFamily Nurse Practitioner1912542614
Verify Teri S. Formanek in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIowa Board of Medicine
Search for license 26239Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
49% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
175 Medicare Part D claims for 102 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. 95 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen77 claims
- Celecoxib28 claims
- Meloxicam17 claims
- Prednisone13 claims
- Tramadol Hcl13 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 MIPS final score for 2023 (Medicare payment program): 97.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $965.66
3 payments; by number, the most common kind was travel and lodging; the largest payer was Arthrex, Inc. 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.
2 hospitals and group practices
- Adair County Memorial HospitalGreenfield, IA · Critical Access Hospitals
- Madison County Memorial HospitalWinterset, IA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).
Teri S. Formanek among 257 orthopaedic surgery physician records in Iowa
Teri S. Formanek, M.D. is one of 257 orthopaedic surgery physician records with a practice address in Iowa. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 17% of them.
- NPI issued2006 · 17% of these records are older, 47% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated1986 · median 2004 among the 151 with a school on file
- Record last updated2021 · 42% 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 Iowa practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 orthopaedic surgery physician record lists a practice address in Winterset
They are 1 of the 77 NPPES records with a practice address in Winterset, and 257 orthopaedic surgery physician records in Iowa.
All 257 in Iowa → Every provider in Winterset → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Kawsu Barry, MDWest Des Moines, IA 502661861929226
- Jeffrey Davick, MDWest Des Moines, IA 502661235193640
- Matthew Dewall, M.D.West Des Moines, IA 502661184832594
- Thomas Dulaney, MDWest Des Moines, IA 502661942264346
- Devon Goetz, MDWest Des Moines, IA 502661033173430
- David Hatfield, MDWest Des Moines, IA 502661508820911
- Nicholas Honkamp, M.D.West Des Moines, IA 502661124077987
- Christopher Kim, B.SC., M.D.West Des Moines, IA 502661013303411
Common questions
What is Teri S. Formanek, M.D.'s NPI number?
Teri S. Formanek, M.D.'s National Provider Identifier (NPI) is 1982644993, issued on Jun 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Teri S. Formanek, M.D. located?
The NPPES record lists a practice address at 300 W Hutchings St, Winterset, IA, 50273. Phone: (515) 462-2373. Providers update this record themselves, so call before visiting.
How can I verify Teri S. Formanek, M.D.'s license?
NPPES lists Iowa license number 26239, as entered by the provider. Search the Iowa Board of Medicine at https://dial.iowa.gov/about-dial/boards-and-commissions/medicine. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Teri S. Formanek, M.D. prescribe under Medicare Part D?
In 2024, Teri S. Formanek, M.D. had 175 Medicare Part D claims for 102 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Teri S. Formanek, M.D.'s MIPS final score?
The 2023 MIPS final score is 97.6 of 100. 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.