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WILEY DOUGLAS FOWLER III PA-C
NPI 1780936278
Physician Assistant in Ponte Vedra, FL

Active since October 08, 2012PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
98 NOCATEE VILLAGE DR, PONTE VEDRA, FL 32081(904) 202-4243(904) 390-7415 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2025, Dec 31, 2018, Jan 12, 2018 (3 updates tracked since 2018).

About Wiley Douglas Fowler Iii Pa-c NPPES

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

WILEY DOUGLAS FOWLER III PA-C (NPI 1780936278) is an individual physician assistant in Ponte Vedra, Florida, licensed in Florida (PA9106930) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1780936278
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWILEY DOUGLAS FOWLER IIICredential: PA-C
Location Address98 NOCATEE VILLAGE DRPonte Vedra, FL 32081-6152
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 202-4243
Fax(904) 390-7415
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 8, 2012
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1780936278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9106930
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9106930 (FL)
98 NOCATEE VILLAGE DR, Ponte Vedra, FL 32081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wiley Douglas Fowler Iii Pa-c 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.

PECOS PAC ID3476704743
PECOS Enrollment IDI20121114000118
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
527 services326 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
254 services254 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
183 services153 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
72 services59 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
49 services41 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
33 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32081 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier27 claims27 services$14.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DR. KRISTEN KELLEY PSYD
Psychologist (Clinical)
98 NOCATEE VILLAGE DR
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
DR. GERARDO BALDASSARRI M.D.
Family Medicine
98 NOCATEE VILLAGE DR
PONTE VEDRA, FL 32081
St. Johns County (904) 202-4243
KAYLA G JONES M.S., CCC-SLP
Speech-Language Pathologist
98 NOCATEE VILLAGE DR
PONTE VEDRA, FL 32081
St. Johns County (904) 202-4243
NICOLE LEE WINTER PSY.D.
Psychologist (Clinical)
98 NOCATEE VILLAGE DR
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
BAPTIST AGEWELL PHYSICIANS INC
Family Medicine (Geriatric Medicine)
98 NOCATEE VILLAGE DR
PONTE VEDRA, FL 32081
St. Johns County (904) 202-4243
DR. ANJALI GUPTA MD
Internal Medicine
98 NOCATEE VILLAGE DR
PONTE VEDRA, FL 32081
St. Johns County (904) 202-4243
OLIVIA A RAINES LCSW
Social Worker (Clinical)
98 NOCATEE VILLAGE DR
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800

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 Wiley Fowler's NPI number?

The NPI number for Wiley Fowler is 1780936278. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Where is Wiley Fowler located?

Wiley Fowler practices at 98 Nocatee Village Dr, Ponte Vedra, FL 32081. The listed phone number is (904) 202-4243.

What is Wiley Fowler's specialty?

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

Is Wiley Fowler enrolled in Medicare?

Yes. Wiley Fowler 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.

What insurance does Wiley Fowler accept?

Health plans from AvMed list Wiley Fowler 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 Wiley Fowler affiliated with any hospitals?

According to CMS data, Wiley Fowler is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Wiley Fowler was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.