TARA MARIE FORMISANO DO
NPI 1548720121
Obstetrics & Gynecology in Beaufort, SC
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 Beaufort County Memorial Hospital, and maintains a secondary practice location in Springfield.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Tara Formisano reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ridgeland, SC 29936
- Reassigned Medicare billing, South Carolina enrollment
- 98 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, South Carolina enrollment
- 190 clinicians in this Medicare group
Springfield, MA 01104
- Reassigned Medicare billing, Massachusetts enrollment
- 168 clinicians in this Medicare group
Springfield, MA 01199
- Reassigned Medicare billing, Massachusetts enrollment
- 1,537 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaufort County Memorial Hospital
Acute Care Hospitals · Beaufort, SCPhysician 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.
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.
BEAUFORT, SC 29902
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.
Which organizations bill Medicare for Tara Formisano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Formisano reassigns Medicare benefits to 4 organizations: Beaufort Jasper Hampton Comprehensive Health Services, Inc. (Ridgeland, SC), Obhg South Carolina PC (Greenville, SC), Mercy Inpatient Medical Associates Inc. (Springfield, MA) and Baystate Medical Practices, Inc (Springfield, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Formisano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Formisano accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer 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 Beaufort County Memorial Hospital.
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 4 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.
# Tara Marie Formisano, DO · NPI 1548720121
Obstetrics & Gynecology physician in Beaufort, South Carolina. Individual provider, active in the CMS NPPES registry since March 21, 2019.
## Identity
- **NPI:** 1548720121 (Entity type: Individual)
- **Enumerated:** March 21, 2019
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 94477 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1264 RIBAUT RD, Beaufort, SC 29902-6123
- **Phone:** (843) 986-0900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Beaufort Jasper Hampton Comprehensive Health Services, Inc. (NPI 1649276148, Ridgeland, SC); Obhg South Carolina PC (NPI 1538457361, Greenville, SC); Mercy Inpatient Medical Associates Inc. (NPI 1407845282, Springfield, MA); Baystate Medical Practices, Inc (NPI 1548205909, Springfield, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548720121) · Data from the CMS NPPES public registry.