Quality Score
67
Tap to see breakdown ▾
Availability
90%
Likely Accepting New PatientsInsurance Accepted
9 of 22 plansCommercial Plans
✓Harvard Pilgrim Health Care
✕Blue Cross Blue Shield of MA
✓Tufts Health Plan
✕Mass General Brigham Health Plan
✕Health New England
✓Fallon Health
✕UnitedHealthcare
✕Aetna
✓Cigna
MassHealth Plans
✕MassHealth PCC Plan
✓Tufts Health Together
✕WellSense Health Plan
✕Fallon Health MassHealth
✕Community Care Cooperative (C3)
✓Be Healthy Partnership (HNE)
Medicare Plans
✕Original Medicare
✕Tufts Medicare Preferred
✓BCBS Medicare Advantage
✕Fallon Medicare Advantage
✓UnitedHealthcare Medicare Advantage
✓Aetna Medicare Advantage
✕Humana Medicare Advantage
Insurance participation is sourced from insurer Transparency in Coverage files and may not reflect recent network changes. Always verify coverage with the practice and your insurer before scheduling.
Positive Scoring Signals
✓ CMS verified primary care provider✓ Primarily outpatient focused
Practice Information
Practice / OrganizationForm Health Associates Ma Pc
Practice TypeGroup Practice
Address109 State Street, 5th floor, Boston, MA 02109-2906
Accepting New PatientsYes
License & Credentials
License StatusActive
License Number210556
License Expires2027-11-08
CMS VerificationEM-Verified
Malpractice & Disciplinary Record
Malpractice Claims✓ None on record
Disciplinary Actions✓ None on record
Education & Training
Medical SchoolNew York Medical College
Medical School Ranking🎓 Tier 2 (Rank 90)
Residency / TrainingUniversity Of Rochester — Resident
Training Dates1997-07-01 – 2001-06-30
Years in Practice29 years — Highly experienced
NPI: 1699723700 · Quality score calculated from a mix of public physician and payor data, combined with proprietary variables