Doctor profile · Federal record
Dr. Teresa Formo, APRN, CNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Valley City, ND
- NPI 1225648736
- Accepts Medicare
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
520 Chautauqua Blvd
Valley City, ND 580723145
(701) 845-6000 - Mailing address
-
Po Box 5074
Sioux Falls, SD 571175074
Credentials & registration
- NPI registered
- August 2020 — 6 yrs on file
- Profile last updated
- May 21, 2024
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- North Dakota #R23725
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225648736. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
427
Distinct HCPCS
10
Medicare allowed
$27,330
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 153 | 91 | $105 | |
36415 |
Insertion of needle into vein for collection of blood sample | 91 | 54 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 59 | 41 | $75 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 24 | 24 | $107 | |
85027 |
Complete blood cell count (red cells, white blood cell, platelets), automated test | 21 | 17 | $6 | |
G0008 |
Administration of influenza virus vaccine | 16 | 16 | $25 | |
93005 |
Routine electrocardiogram (ecg) using at least 12 leads with tracing | 14 | 13 | $6 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 13 | 13 | $8 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 13 | 13 | $76 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 12 | 11 | $148 |
In context: peer comparison
Among 4 peers in Valley City Family Nurse Practitioner, average services per provider: 53. This provider delivers 8.1× the peer median.Open Payments
Industry payments received
All-time total
$13
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 1 | $13.39 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
534
Patients
101
Total drug cost
$4,994
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 71 | 19 | $884 |
| Atorvastatin Calcium | Generic | 65 | 18 | $343 |
| Amlodipine Besylate | Generic | 49 | 14 | $218 |
| Lisinopril | Generic | 45 | 11 | $403 |
| Losartan Potassium | Generic | 40 | 13 | $359 |
| Omeprazole | Generic | 39 | 13 | $465 |
| Metformin Hcl | Generic | 32 | 0 | $156 |
| Simvastatin | Generic | 32 | 0 | $267 |
| Metoprolol Succinate | Generic | 30 | 0 | $341 |
| Metformin Hcl ER (Metformin Hcl) | Brand | 27 | 0 | $100 |
Hospital affiliations
Frequently asked questions
What is Dr. Teresa Formo's medical specialty?
Dr. Teresa Formo practices Family Nurse Practitioner in Valley City, ND.
Where does Dr. Teresa Formo practice?
Dr. Teresa Formo practices at 520 Chautauqua Blvd, Valley City, ND 580723145. Office phone: 7018456000.
What is Dr. Teresa Formo's NPI?
Dr. Teresa Formo's National Provider Identifier (NPI) is 1225648736, issued by NPPES.
Does Dr. Teresa Formo accept Medicare assignment?
Yes. Dr. Teresa Formo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Teresa Formo commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.