Quick answers
- Does Erica L. Formato accept Medicare assignment?
- Yes. Medicare's clinician data says Erica L. Formato accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Erica L. Formato see?
- In 2024, CMS data shows 145 Original Medicare patients and 764 services for Erica L. Formato. This counts Original Medicare only and measures volume, not quality.
- What is Erica L. Formato's NPI number?
- 1699161679. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Erica L. Formato, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 145 |
|---|---|
| Services billed to Medicare | 764 |
| Different services or procedures | 53 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)232 services
- Insertion of needle into vein for collection of blood sample (36415)166 services
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)92 services
- New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)43 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)41 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High cholesterol75%
- High blood pressure70%
- Arthritis40%
- Diabetes28%
- Depression23%
- Anxiety23%
Hospitals where Erica L. Formato works
Medicare's Facility Affiliation Data lists Erica L. Formato at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Augusta HealthFishersville, VA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 490018
- Sentara Martha Jefferson HospitalCharlottesville, VA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 490077
- Sentara RMH Medical CenterHarrisonburg, VA · Acute Care Hospital · Medicare rating: 5 of 5 stars · Emergency services: listed by Medicare · CCN 490004
- University of Virginia Medical CenterCharlottesville, VA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 490009
Practice locations
Addresses where Erica L. Formato is enrolled with Medicare (CMS data updated October 2, 2026).
- 103 Community WayStaunton, VA 24401 (540) 437‑7920
- 103 Community Way, Suite 100Staunton, VA 24401 (540) 689‑5500
- 136 W Elizabeth StHarrisonburg, VA 22802
- 2760 Godwin Blvd, Suite 100Suffolk, VA 23434 (757) 983‑8650
Group practices
Medicare enrollment lists Erica L. Formato as a member of these groups (CMS data updated October 2, 2026).
- Sentara Medical Group1,408 clinicians in the group
- RMH Medical Group LLC256 clinicians in the group
Specialties
- Family Practiceprimary
Other family doctors in Staunton
Clinicians with the same Medicare primary specialty in Staunton, VA — not a recommendation.
Other clinicians in Sentara Medical Group
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | Eastern Virginia Medical School |
| Graduation year | 2015 (11 years since medical school) |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1699161679 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians