PHILIP FORMICA MD NPI 1184883209

NPI Details

Philip Formica, MD is an advanced heart failure and transplant cardiology internal medicine in Burlington, MA with 20 years of experience. The provider is specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. Philip Formica, MD NPI is 1184883209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

41 MALL ROAD
LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA
ZIP 01805-001
Phone: (781) 744-8460
Fax: (781) 744-5261

The NPI 1184883209 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
• Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
• Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
• Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
• Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
• Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
• Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
• Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
• Critical care, first 30-74 minutes (HCPCS:99291)
• Hospital discharge day management, more than 30 minutes (HCPCS:99239)
• Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
• Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
• Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
• Ultrasound of heart, follow-up (HCPCS:93308)
• Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 6/4/2008 and was last updated on 4/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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