TARA MARIE FORMISANO DO
NPI 1548720121
Obstetrics & Gynecology in Beaufort, SC

Q: What is Tara Formisano's NPI number?

The NPI number for Tara Formisano is 1548720121. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Tara Formisano's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Formisano was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment

1264 RIBAUT RD, BEAUFORT, SC 29902(843) 986-0900 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Oct 13, 2023, Mar 21, 2019 (3 updates tracked since 2019).

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About Tara Marie Formisano Do NPPES

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

TARA MARIE FORMISANO DO (NPI 1548720121) is an individual obstetrics & gynecology provider in Beaufort, South Carolina, licensed in South Carolina (94477) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1548720121

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTARA MARIE FORMISANOCredential: DO

Location Address1264 RIBAUT RDBeaufort, SC 29902-6123

Mailing Address721 Okatie HwyOkatie, SC 29909-3963 · (843) 987-7400

Phone(843) 986-0900

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 21, 2019

Last NPPES UpdateJune 23, 20263 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1548720121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in SC · 94477

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 1015917 (MA)

1264 RIBAUT RD, Beaufort, SC 29902

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Tara Marie Formisano Do 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 ID3678808532

PECOS Enrollment IDI20230803002860, I20251003002005

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.

Hospital Affiliations CMS Care Compare

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

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29902 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 6

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

GLENN L. WERNER, M.D. PC

Specialist

1264 RIBAUT RD, BUILDING 200
BEAUFORT, SC 29902

Beaufort County (843) 524-5455

MARY ELIZABETH DURANT WHNP

Advanced Practice Midwife

1264 RIBAUT RD, BUILDING 200
BEAUFORT, SC 29902

Beaufort County (843) 824-5455

WERNER ROYAL & CSAKANY LLC

Obstetrics & Gynecology

1264 RIBAUT RD, BLDG 200
BEAUFORT, SC 29902

Beaufort County (843) 524-5455

LOWCOUNTRY NEUROPATHY OF BEAUFORT LLC

Family Medicine

1264 RIBAUT RD
BEAUFORT, SC 29902

Beaufort County (843) 817-7404

MICHAEL SCOTT MCKELVEY D.C.

Chiropractor (Sports Physician)

1264 RIBAUT RD, STE. 102
BEAUFORT, SC 29902

Beaufort County (843) 524-4325

NATIONS SLEEP DISORDERS CENTER LLC

Specialist

1264 RIBAUT RD, SUITE 402
BEAUFORT, SC 29902

Beaufort County (843) 603-6503

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 Tara Formisano's NPI number?

The NPI number for Tara Formisano is 1548720121. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Tara Formisano located?

Tara Formisano practices at 1264 Ribaut Rd, Beaufort, SC 29902. The listed phone number is (843) 986-0900.

What is Tara Formisano's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tara Formisano enrolled in Medicare?

Yes. Tara Formisano 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 Tara Formisano accept?

Health plans from Anthem Blue Cross and Blue Shield list Tara Formisano 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 Tara Formisano affiliated with any hospitals?

According to CMS data, Tara Formisano is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Tara Formisano was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.