Physician Profile
Richard N. Formica, MD
Unclaimed ProfileAbout Dr. Formica
Richard N. Formica, MD practices nephrology in New Haven, CT. Richard is a 1993 graduate of Boston University School of Medicine. According to Medicare claims data, Richard cared for 430 Medicare patients across 732 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, and visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient'.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
Education & Training
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (203) 785-2140
- Email not available
Practice Locations
800 HOWARD AVE YALE PHYSICIANS BUILDING
New Haven, CT 06519
Conditions Commonly Evaluated or Treated
Within Nephrology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
Acid-base disorders
Anatomical conditions
Autoimmune conditions
Blood disorders
Blood pressure
Cysts and growths
Diabetes complications
Dialysis complications
Electrolyte disorders
Fluid retention
Genetic disorders
Hormone disorders
Infections
Inflammatory conditions
Kidney damage
Kidney failure
Kidney filter diseases
Lab abnormalities
Metabolic disorders
Multi-organ conditions
Structural kidney issues
Symptoms
Urine abnormalities
Urine symptoms
Vascular conditions
Vascular kidney issues
Procedures & services
Most searched procedures
Consultations
Diagnostic tests
Diagnostics
Dialysis
Dialysis access
- Dialysis Access Physical Exam
- Dialysis Catheter Removal
- Dialysis Fistula Repair
- Temporary Dialysis Line Placement
Diet and nutrition
Imaging
Infusions
Interventional procedures
Lab tests
- 24-hour urine test
- Comprehensive Metabolic Panel
- Kidney Function Blood Test
- Parathyroid hormone monitoring
- Urine protein check
- Urine sediment test
Medication management
- Active Vitamin D Therapy
- Resistant Blood Pressure Medication Adjustment
- Steroid Therapy For Kidney Inflammation
Medication therapy
- Acid reducer treatment for kidneys
- Phosphate binder therapy
- Potassium lowering treatment
- Red blood cell booster injections
- Water pill adjustment
Patient education
Prevention
Procedures
Specialized therapies
Supportive care
Surgical procedures
Transplant care
Vascular access
Procedures Most Often Billed to Medicare
732 services · 430 patients · 8 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Needle biopsy of kidney | Procedure | 50200 |
20 | As often as other peers in Nephrology |
| Ultrasonic guidance for needle placement | Imaging | 76942 |
18 | As often as other peers in Nephrology |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
210 | More often than most peers in Nephrology |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
178 | As often as other peers in Nephrology |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
155 | As often as other peers in Nephrology |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
62 | More often than most peers in Nephrology |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
47 | As often as other peers in Nephrology |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
42 | As often as other peers in Nephrology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Related specialists at this location 4
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other kidney specialists in New Haven 8
Same specialty, same city.
More connections — 17 related providers in 3 groups
Trained at Boston University School of Medicine 8
Other providers in the same specialty who trained at the same institution.
Class of 1993 at Boston University School of Medicine 8
Providers who graduated from the same medical school in the same year.
Also performs Needle biopsy of kidney 1
Providers in CT who bill this service to Medicare most often.
Common questions
What does Dr. Formica specialize in?
Dr. Formica is a kidney specialist in New Haven, CT. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nephrology”.
NPI registry
Where is Dr. Formica located?
Dr. Formica is listed at 800 Howard Ave Yale Physicians Building, New Haven, CT 06519. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Dr. Formica's phone number?
The number on file is (203) 785-2140. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is Dr. Formica's NPI number?
Dr. Formica's National Provider Identifier is 1730163502. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Dr. Formica go to medical school?
Dr. Formica attended Boston University School of Medicine, graduating in 1993. This comes from the CMS National Downloadable File.
CMS public data
How long has Dr. Formica been practicing?
Dr. Formica has 33 years experience. Calculated from a graduation year of 1993, reported in the CMS National Downloadable File.
CMS public data
What does Dr. Formica do most often?
According to Medicare billing data, Dr. Formica performs procedures including needle biopsy of kidney; reads or performs imaging such as ultrasonic guidance for needle placement, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Dr. Formica confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Formica. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.