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LANA ELIZABETH FORMO PA-C
NPI 1396364261
Physician Assistant in Tucson, AZ

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
82.49/100
CMS Quality Rating
4582 N 1ST AVE STE 170, TUCSON, AZ 85718(520) 829-6776(520) 829-6661 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2024, Jun 15, 2021, Apr 10, 2020 (3 updates tracked since 2020).

About Lana Elizabeth Formo Pa-c NPPES

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

LANA ELIZABETH FORMO PA-C (NPI 1396364261) is an individual physician assistant in Tucson, Arizona, licensed in Arizona (8307) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396364261
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLANA ELIZABETH FORMOCredential: PA-C
Location Address4582 N 1ST AVE STE 170Tucson, AZ 85718-8607
Mailing Address4881 E Grant RdTucson, AZ 85712-2704 · (520) 829-6776 · Fax (520) 829-6661
Phone(520) 829-6776
Fax(520) 829-6661
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1396364261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 8307
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4582 N 1ST AVE STE 170, Tucson, AZ 85718
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Secondary Practice Locations 2

Location 11500 S Dobson Rd Ste 202Mesa, AZ 85202-4724 · Phone (866) 974-2673 · Fax (866) 939-2673
Location 24881 E Grant RdTucson, AZ 85712-2704 · Phone (520) 829-6776 · Fax (520) 829-6661

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Lana Elizabeth Formo Pa-c 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 ID5092114637
PECOS Enrollment IDI20210601002186
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
170 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services51 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
59 services57 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
31 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85718 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

82.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.09
Promoting Interoperability100
Improvement Activities40
Cost68.54

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by JoAnne ***** February 25, 2025

5/5
I met with PA Lana Formo, as a result of a scheduling mishap, on 2/13/25. I was a bit trepidatious, as meeting with someone other than Dr. Eric Cornidez, in the past... proved to be a harrowing experience. To my pleasant surprise, Ms. Formo proved to be an exceptionally professional and compassionate provider. With relevant questions; careful listening, She is the female version of Dr Cornidez
Provider 5/5 Office Staff 5/5
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Other Providers at the Same Location NPPES 3

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

CONNOR CHARLES MARTIN MD
Physical Medicine & Rehabilitation (Pain Medicine)
4582 N 1ST AVE STE 170
TUCSON, AZ 85718
Pima County (520) 318-6035
DR. EFRAIN ISRAEL CUBILLO IV MD
Anesthesiology (Pain Medicine)
4582 N 1ST AVE STE 170
TUCSON, AZ 85718
Pima County (520) 318-6035
MRS. BRITTANY BROWN FNP
Nurse Practitioner (Family)
4582 N 1ST AVE STE 170
TUCSON, AZ 85718
Pima County (520) 318-6035

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 Lana Formo's NPI number?

The NPI number for Lana Formo is 1396364261. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Lana Formo located?

Lana Formo practices at 4582 N 1st Ave Ste 170, Tucson, AZ 85718. The listed phone number is (520) 829-6776.

What is Lana Formo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lana Formo enrolled in Medicare?

Yes. Lana Formo 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 Lana Formo accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Lana Formo 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.

When was this NPI record last updated?

The NPPES record for Lana Formo was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.