SILVIA C. FORMENTI M.D.
NPI 1568463339
Radiology - Radiation Oncology in New York, NY

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 E 68TH ST, NEW YORK, NY 10065(212) 746-3600(212) 746-6635 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Silvia C. Formenti M.d. NPPES

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

SILVIA C. FORMENTI M.D. (NPI 1568463339) is an individual radiation oncology provider in New York, New York, licensed in New York (212254) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1568463339
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameSILVIA C. FORMENTICredential: M.D.
Location Address525 E 68TH STNew York, NY 10065-4870
Mailing Address525 E 68th StNew York, NY 10065-4870 · (212) 746-3600 · Fax (212) 746-6635
Fax(212) 746-6635
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 3, 2005
Last NPPES UpdateApril 16, 2019
✔ NPI 1568463339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in NY · 212254
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
525 E 68TH ST, New York, NY 10065

Other Identifiers 2

Medicaid00212254NY
OtherA400120740NY · Medicare

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

Silvia C. Formenti M.d. 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 ID5395716096
PECOS Enrollment IDI20040805000160
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.

Medicare Billing Reassignment

Medicare enrollment records show Silvia Formenti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Radiation Oncology
525 E 68TH ST, N046
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1649286139 (New York)
  • 32 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.

Areas of Expertise CMS Part B claims 11

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.

Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
217 services51 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
104 services50 patients
Design and construction of simple radiation treatment device 77332
A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.
66 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
62 services62 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
61 services38 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
54 services38 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
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.

Surgery
525 E 68TH ST
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
Specialist
525 E 68TH ST
NEW YORK, NY 10065
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065

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 Silvia Formenti's NPI number?

The NPI number for Silvia Formenti is 1568463339. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Silvia Formenti located?

Silvia Formenti practices at 525 E 68th St, New York, NY 10065. The listed phone number is (212) 746-3600.

What is Silvia Formenti's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Silvia Formenti enrolled in Medicare?

Yes. Silvia Formenti 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 organization bills Medicare for Silvia Formenti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Silvia Formenti reassigns Medicare benefits to Weill Medical College Of Cornell (New York, NY). The 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 Silvia Formenti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Silvia Formenti affiliated with any hospitals?

According to CMS data, Silvia Formenti is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Silvia Formenti was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.