GINA M FORMEA
NPI 1154464618
Psychologist - Clinical in Seattle, WA

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 598-4295 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gina M Formea NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA M FORMEA (NPI 1154464618) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY00001996) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Harborview Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1154464618
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameGINA M FORMEA
Location AddressUNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC STSeattle, WA 98195-6157
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1154464618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in WA · PY00001996
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
UNIVERSITY OF WASHINGTON MEDICAL CTR, Seattle, WA 98195

Other Identifiers 2

Medicare UPINS29630
Other4818Internal Id-motor Vehicle Id

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gina M Formea is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294787982
PECOS Enrollment IDI20050210000386
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
71 services19 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
19 services19 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Radiology (Diagnostic Radiology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Neurological Surgery
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Internal Medicine (Cardiovascular Disease)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Medical Genetics (Clinical Genetics (M.D.))
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Internal Medicine (Hematology & Oncology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
Anesthesiology
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina Formea's NPI number?

The NPI number for Gina Formea is 1154464618. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Gina Formea located?

Gina Formea practices at University Of Washington Medical Ctr 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 598-4295.

What is Gina Formea's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gina Formea enrolled in Medicare?

Yes. Gina Formea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gina Formea accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gina Formea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gina Formea affiliated with any hospitals?

According to CMS data, Gina Formea is affiliated with Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for Gina Formea was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.