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Dr. Nathan Formaini, DO

Pittsburgh, PA

Accepting patients

Affiliated with a Castle Connolly Top Hospital

    Who is Dr. Formaini, Orthopedic Surgeon in Pittsburgh, PA?

    Dr. Nathan Formaini, DO is an Orthopedic Surgeon, who primarily practices in Pittsburgh, PA with 2 additional practice locations. Dr. Formaini is fluent in English, and is currently seeing new patients. Dr. Formaini’s practice accepts Medicare, UnitedHealthcare and other major insurance plans. To book an appointment or to confirm insurance options, please call Dr. Formaini’s office at (412) 782-3990.

    What languages does Dr. Formaini speak?

    Dr. Formaini and their clinical team can communicate with patients in the following languages:

    • English

    What conditions does Dr. Formaini treat?

    As an Orthopedic Surgeon, Dr. Formaini diagnoses, treats, and manages a wide range of conditions. This condition information is derived from anonymized insurance claims and highlights the medical conditions most commonly treated by Dr. Formaini. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.

    Also known as:

    • Other Pre-Procedure Examination
    • Various pre-op checks
    • Miscellaneous pre-surgery exams
    • Other pre-treatment assessments

    ICD-10 Codes:

    • Z01818: Encounter for other preprocedural examination

    Also known as:

    • Osteoarthritis of the right shoulder
    • Osteoarthritis of the left shoulder
    • Osteoarthritis
    • Degenerative joint disease
    • Wear-and-tear arthritis
    • Arthrosis
    • Joint degeneration

    ICD-10 Codes:

    • M19011: Primary osteoarthritis, right shoulder
    • M19012: Primary osteoarthritis, left shoulder

    Also known as:

    • Joint Replacement Aftercare
    • Hip Replacement
    • Joint Disorder
    • Knee Replacement
    • Post-joint replacement care
    • Joint surgery recovery
    • Orthopedic aftercare

    ICD-10 Codes:

    • Z471: Aftercare following joint replacement surgery

    Also known as:

    • Other Specified Aftercare
    • Specific post-op care
    • Specialized recovery care
    • Follow-up for specific procedures

    ICD-10 Codes:

    • Z5189: Encounter for other specified aftercare

    Also known as:

    • Right Shoulder Pain
    • Left Shoulder Pain
    • Pain
    • Shoulder Injuries and Disorder
    • Sore Right Shoulder
    • Right Shoulder Ache
    • Right Shoulder Discomfort
    • Sore Left Shoulder
    • Left Shoulder Ache
    • Left Shoulder Discomfort

    ICD-10 Codes:

    • M25511: Pain in right shoulder
    • M25512: Pain in left shoulder

    Also known as:

    • Right Rotator Cuff Tear
    • Left Rotator Cuff Tear
    • Rotator Cuff Injuries
    • Right rotator cuff rupture
    • Right shoulder tendon tear
    • Right shoulder muscle tear
    • Left rotator cuff rupture
    • Left shoulder tendon tear
    • Left shoulder muscle tear

    ICD-10 Codes:

    • M75101: Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic
    • M75102: Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic

    Also known as:

    • Other Orthopedic Aftercare
    • General orthopedic recovery
    • Musculoskeletal post-op care
    • Bone and joint follow-up

    ICD-10 Codes:

    • Z4789: Encounter for other orthopedic aftercare

    Also known as:

    • Shoulder Impingement Syndrome
    • Rotator Cuff Injuries
    • Swimmer's Shoulder
    • Impingement Syndrome
    • Rotator Cuff Impingement

    ICD-10 Codes:

    • M7541: Impingement syndrome of right shoulder

    What procedures does Dr. Formaini perform?

    As an Orthopedic Surgeon, Dr. Formaini performs a variety of medical procedures. This procedure information is derived from anonymized insurance claims and highlights the medical procedures most commonly performed by Dr. Formaini. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.

    Also known as:

    • Shoulder Bone Shaving (Arthroscopic)
    • Shoulder Arthroscopy with Biceps Repair
    • Extensive Shoulder Arthroscopy Debridement
    • Endoscopy
    • Arthroscopic Distal Claviculectomy
    • Mumford Procedure (Arthroscopic)
    • AC Joint Resection (Arthroscopic)
    • Arthroscopic Biceps Tenodesis
    • Keyhole Shoulder Biceps Surgery
    • Shoulder Scope Biceps Repair
    • Shoulder Scope Cleaning
    • Arthroscopic Shoulder Debridement
    • Shoulder Joint Cleanup Surgery

    CPT Codes:

    • 29824: Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)
    • 29828: Arthroscopy, shoulder, surgical; biceps tenodesis
    • 29823: Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])

    Also known as:

    • Shoulder Arthroscopy for Decompression
    • Arthroscopic Rotator Cuff Repair
    • Endoscopy
    • Arthroscopic Shoulder Decompression
    • Subacromial Decompression
    • Shoulder Impingement Surgery
    • Acromioplasty
    • Shoulder Arthroscopy for Rotator Cuff
    • Keyhole Rotator Cuff Surgery
    • Minimally Invasive Shoulder Repair

    CPT Codes:

    • 29826: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)
    • 29827: Arthroscopy, shoulder, surgical; with rotator cuff repair

    Also known as:

    • Total Shoulder Replacement
    • Glenohumeral Arthroplasty
    • Shoulder Joint Replacement
    • Proximal Humeral Replacement
    • Artificial Shoulder Surgery

    CPT Codes:

    • 23472: Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))

    Also known as:

    • Brachial Plexus Nerve Block
    • Shoulder Nerve Injection
    • Arm Pain Injection
    • Imaging-Guided Nerve Block

    CPT Codes:

    • 64415: Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed

    Does Dr. Formaini accept my insurance?

    Dr. Formaini accepts most major insurance plans. Important: Please call our office at (412) 782-3990 before your appointment to verify that your specific plan and network are accepted.

    What insurance plans does Dr. Formaini accept in Pittsburgh, PA?

    Dr. Formaini in Pittsburgh, PA accepts plans from many carriers. While this list is updated regularly, it is not a guarantee of coverage.

    Top Insurances

    • All Other Third Party

    • BCBS Unspecified

    • CVS Health (formerly Aetna)

    • Highmark Inc.

    • Humana

    • Medicare

    • State of Tennessee

    • Sunrise Senior Living

    • UnitedHealthcare

    • UPMC Health Plan

    View All Insurances

    Where is Dr. Formaini's office located?

    Dr. Nathan Formaini's Primary Practice

    200 Delafield Rd Ste 1040

    Pittsburgh, PA 15215

    (412) 782-3990

    Get Directions

    Dr. Nathan Formaini's Practice 2

    77 Glade Dr

    Kittanning, PA 16201

    (954) 958-4800

    Get Directions

    Dr. Nathan Formaini's Practice 3

    666 Allegheny River Blvd

    Oakmont, PA 15139

    Get Directions

    What is Dr. Formaini's NPI number?An National Provider Identifier (NPI) is a unique ID number that identifies doctors and healthcare providers nationwide.

    Dr. Formaini's National Provider Identifier (NPI) number is 1972730604.

    What common questions do patients ask about Dr. Formaini?

    Here are answers to patients Frequently Asked Questions (FAQ’s) about Dr. Formaini

    What is Dr. Nathan Formaini's specialty?

    Dr. Formaini is a Orthopedic Surgeon near Pittsburgh, PA. An orthopedic surgeon has specialization in preserving, investigating, and restoring the form and function of the extremities, spine, and related structures through medical, surgical, and physical methods. They care for patients with musculoskeletal issues, including congenital deformities, trauma, infections, tumors, metabolic disturbances, and degenerative diseases affecting the spine, hands, feet, knees, hips, shoulders, and elbows in both children and adults. Additionally, orthopedic surgeons address primary and secondary muscular problems and the impact of central or peripheral nervous system lesions on the musculoskeletal system. Contact Dr. Formaini to book an appointment today.

    Is this Dr. Nathan Formaini affiliated with a ranked Castle Connolly Top Hospital?

    Yes, Dr. Formaini is affiliated with ACMH Hospital, Butler Memorial Hospital, Indiana Regional Medical Center, UPMC Passavant-McCandless, UPMC Washington which are a Castle Connolly Top Hospitals. Castle Connolly Top Hospitals are healthcare institutions recognized for their excellence in specific medical procedures and overall patient care. They are identified through a rigorous peer nomination process, evaluating factors like patient outcomes, quality of care, and expertise. The list recognizes hospitals that excel in 20 or more specific medical procedures, representing the top 25% nationwide. Castle Connolly Top Hospitals

    Where can I learn more about Orthopedic Surgeon?

    Explore Orthopedic Surgeon with insights from trusted medical experts on EverydayHealth.com, where you'll find the most relevant content and helpful condition guides for up-to date information about symptoms, causes, diagnosis, treatment and more. See all our health guides to find trusted information on medical conditions from our experts at Everyday Health.

    Is Nathan Formaini accepting new patients in Pittsburgh, PA?

    Yes, Dr. Nathan Formaini is accepting new patients at this time.

    Does Dr. Nathan Formaini offer online booking?

    Please contact Dr. Formaini's office at (412) 782-3990 for information about online booking, telehealth, or to schedule an appointment.

    How can I make an appointment with Nathan Formaini?

    Please contact Dr. Formaini's office at (412) 782-3990 for information regarding telehealth appointment availability or for scheduling assistance.

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