Timothy Formanek, PA
Physician Assistant · Marion, IA
Timothy Formanek, PA is a physician assistant with a practice address in Marion, Iowa, and NPI 1598718215, issued on May 17, 2006. Check the license (Iowa 131043, as entered in NPPES) with the Iowa board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Timothy Formanek
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 131043 IA
Self-reported in NPPES; status is on the state search - Practice location
- 3701 Katz Dr, Marion, IA 52302
- Phone
- (319) 373-3022
- Enumerated
- May 17, 2006
- Record last updated
- Jun 10, 2025
- Medicare enrollment
- Enrolled (PECOS I20250617003061); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,525 in Iowa → Look up another NPI →
Also registered at 3701 Katz Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Timothy Formanek in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Iowa board licenses this profession
Search for license 131043Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average physician assistant in 2024
15 Medicare Part D claims, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
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): 91.4 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).
Bills Medicare through 2 group practices
- Mercy Care Management, IncCedar Rapids, IA
- Mercy Physician Associates IncHiawatha, IA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Timothy Formanek among 1,525 physician assistant records in Iowa
Timothy Formanek, PA is one of 1,525 physician assistant records with a practice address in Iowa. 79% 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 10% of them.
- NPI issued2006 · 10% of these records are older, 73% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated1991 · median 2017 among the 1,053 with a school on file
- Record last updated2025 · 41% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Iowa practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
7 physician assistant records list a practice address in Marion
They are 7 of the 260 NPPES records with a practice address in Marion, and 1,525 physician assistant records in Iowa.
All 1,525 in Iowa → Every provider in Marion → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jordan BarberMarion, IA 523021720695307
- Hannah CahillMarion, IA 523021891673547
- John Hanshew, PA-CMarion, IA 523021417766841
- Megan Iannaci, PA-CMarion, IA 523021013430925
- Janelle Koenen, PA-CMarion, IA 523021275049298
- Jessica Quinn, PACMarion, IA 523021841368800
- Jilia Getner, PACMarengo, IA 523011316933203
- James Hines, PAMarengo, IA 523011346386166
Common questions
What is Timothy Formanek, PA's NPI number?
Timothy Formanek, PA's National Provider Identifier (NPI) is 1598718215, issued on May 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Timothy Formanek, PA located?
The NPPES record lists a practice address at 3701 Katz Dr, Marion, IA, 52302. Phone: (319) 373-3022. Providers update this record themselves, so call before visiting.
How can I verify Timothy Formanek, PA's license?
NPPES lists Iowa license number 131043, as entered by the provider. Search the Iowa board that licenses this profession; the NPPES record confirms identity only.
How much does Timothy Formanek, PA prescribe under Medicare Part D?
In 2024, Timothy Formanek, PA had 15 Medicare Part D claims; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Timothy Formanek, PA's MIPS final score?
The 2023 MIPS final score is 91.4 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.