TERI S FORMANEK M.D.
NPI 1982644993
Orthopaedic Surgery in Winterset, IA
About Teri S Formanek M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERI S FORMANEK M.D. (NPI 1982644993) is an individual orthopaedic surgery provider in Winterset, Iowa, licensed in Iowa (26239) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adair County Memorial Hospital, and maintains a secondary practice location in Clive.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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
Teri S Formanek 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.
Medicare Billing Reassignments
2Medicare enrollment records show Teri Formanek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winterset, IA 50273
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1831104611 (Iowa)
- 43 clinicians in this Medicare group
Greenfield, IA 50849
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1780667519 (Iowa)
- 46 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adair County Memorial Hospital
Critical Access Hospitals · Greenfield, IAMadison County Health Care System
Critical Access Hospitals · Winterset, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50273 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WINTERSET, IA 50273
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 Teri Formanek's NPI number?
The NPI number for Teri Formanek is 1982644993. It was assigned to this individual provider in the NPPES registry on June 7, 2006.
Where is Teri Formanek located?
Teri Formanek practices at 300 W Hutchings St, Winterset, IA 50273. The listed phone number is (515) 462-2373.
What is Teri Formanek's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Teri Formanek enrolled in Medicare?
Yes. Teri 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.
Which organizations bill Medicare for Teri Formanek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teri Formanek reassigns Medicare benefits to 2 organizations: Madison County Memorial Hospital (Winterset, IA) and Adair County Memorial Hospital (Greenfield, IA). 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 Teri Formanek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Teri Formanek accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 3 other insurers list Teri 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 Teri Formanek affiliated with any hospitals?
According to CMS data, Teri Formanek is affiliated with Adair County Memorial Hospital and Madison County Health Care System.
When was this NPI record last updated?
The NPPES record for Teri Formanek was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Teri S Formanek, M.D. · NPI 1982644993
Orthopaedic Surgery physician in Winterset, Iowa. Individual provider, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1982644993 (Entity type: Individual)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 26239 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 W HUTCHINGS ST, Winterset, IA 50273
- **Phone:** (515) 462-2373
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Madison County Memorial Hospital (NPI 1093929390, Winterset, IA); Adair County Memorial Hospital (NPI 1366531345, Greenfield, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 1986
## Record status
- **NPPES last updated:** February 22, 2021
- **Other identifiers:** Medicaid 2083659 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1982644993) · Data from the CMS NPPES public registry.