1. Home
  2. Directory
  3. Iowa
  4. Marion
  5. Physician Assistant
  6. NPI Profile

TIMOTHY FORMANEK PA
NPI 1598718215
Physician Assistant in Marion, IA

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
91.42/100
CMS Quality Rating
3701 KATZ DR, MARION, IA 52302(319) 373-3022 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Formanek Pa NPPES

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

TIMOTHY FORMANEK PA (NPI 1598718215) is an individual physician assistant in Marion, Iowa, licensed in Iowa (131043) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1598718215
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY FORMANEKCredential: PA
Location Address3701 KATZ DRMarion, IA 52302-3871
Mailing Address3701 Katz DrMarion, IA 52302-3871 · (319) 373-3022
Phone(319) 373-3022
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1598718215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 131043
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.
3701 KATZ DR, Marion, IA 52302
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Timothy Formanek Pa 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 ID3577688910
PECOS Enrollment IDI20250617003061
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.

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52302 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

91.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.78
Promoting Interoperability100
Improvement Activities40
Cost62.8

Other Providers at the Same Location NPPES 18

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

MEGAN KAZUYE IANNACI PA-C
Physician Assistant
3701 KATZ DR
MARION, IA 52302
Linn County (319) 373-3022
MARGARET ARLENE RIDDELL
Family Medicine
3701 KATZ DR
MARION, IA 52302
Linn County (319) 377-3174
MERCY PHYSICIAN ASSOCIATES, INC
Family Medicine
3701 KATZ DR
MARION, IA 52302
Linn County (319) 377-3174
JULIE HOFFMANN NP
Nurse Practitioner (Family)
3701 KATZ DR
MARION, IA 52302
Linn County (319) 373-3022
CARRIE BROWN-BENN ARNP
Nurse Practitioner (Family)
3701 KATZ DR
MARION, IA 52302
Linn County (319) 377-6065
ARLEEN ZAHN-HOUSER MD
Family Medicine
3701 KATZ DR
MARION, IA 52302
Linn County (319) 373-8708
DR. JACLYN M PRICE DO
Family Medicine
3701 KATZ DR
MARION, IA 52302
Linn County (319) 377-3174
REBEKAH SIEGERT ARNP
Nurse Practitioner (Family)
3701 KATZ DR
MARION, IA 52302
Linn County (319) 373-3022

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 Timothy Formanek's NPI number?

The NPI number for Timothy Formanek is 1598718215. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Timothy Formanek located?

Timothy Formanek practices at 3701 Katz Dr, Marion, IA 52302. The listed phone number is (319) 373-3022.

What is Timothy Formanek's specialty?

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

Is Timothy Formanek enrolled in Medicare?

Yes. Timothy Formanek 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 Timothy Formanek accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Timothy Formanek 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 Timothy Formanek affiliated with any hospitals?

According to CMS data, Timothy Formanek is affiliated with Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Timothy Formanek was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.