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BRANDON JAMES FORMOZA PA-C
NPI 1700778446
Physician Assistant in Potsdam, NY

Active since July 17, 2025PECOS Enrolled
50 LEROY ST, POTSDAM, NY 13676(585) 236-0373 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brandon James Formoza Pa-c NPPES

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

BRANDON JAMES FORMOZA PA-C (NPI 1700778446) is an individual physician assistant in Potsdam, New York, licensed in New York (034031) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1700778446
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRANDON JAMES FORMOZACredential: PA-C
Location Address50 LEROY STPotsdam, NY 13676-1786
Mailing Address24 Sober StNorfolk, NY 13667-4147 · (315) 663-7791
Phone(585) 236-0373
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1700778446 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 NY · 034031
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.
50 LEROY ST, Potsdam, NY 13676
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon James Formoza Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628586567
PECOS Enrollment IDI20250802000073
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 2

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

JULIE LYNN LAWLESS LCSW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
DR. KYLE FLINT PHARMD, RPH
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
HEATHER MACKINNON
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KARYN SULLIVAN PA
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 782-2620
COREEN BOHL MSW, LCSW, ACHP-SW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KELSEY MILLER
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 261-5511
CHRISTINA KASHMER PA
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
YASMEEN ZAIDI MS
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300

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 Brandon Formoza's NPI number?

The NPI number for Brandon Formoza is 1700778446. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Brandon Formoza located?

Brandon Formoza practices at 50 Leroy St, Potsdam, NY 13676. The listed phone number is (585) 236-0373.

What is Brandon Formoza's specialty?

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

Is Brandon Formoza enrolled in Medicare?

Yes. Brandon Formoza is registered in the Medicare PECOS enrollment system.

Is Brandon Formoza affiliated with any hospitals?

According to CMS data, Brandon Formoza is affiliated with Canton-Potsdam Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Brandon Formoza was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.