Active NPI 1780936278 Individual Practitioner Male Practitioner

Wiley Douglas Fowler , PA-C

Physician Assistant • Ponte Vedra, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Wiley Fowler, PA-C is a certified Physician Assistant practicing in Ponte Vedra, FL. With approximately 14 years of clinical experience since completing medical education in 2012, Wiley Fowler delivers high-quality medical care to the local community at 98 NOCATEE VILLAGE DR.

Wiley Fowler is affiliated with Baptist Agewell Physicians Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

98 Nocatee Village Dr

Ponte Vedra, FL 320816152

Telephone 9042024243

Fax 9043907415

Associated Practice Facility / Clinic

🏢 Baptist Agewell Physicians Inc Facility NPI 1679240337

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ponte Vedra, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +4.7 yrs vs City Avg

City Avg: 9.3 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Ponte Vedra, FL (10376 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fowler (14 Years) 14 Yrs

Ponte Vedra Specialty Average (9.3 Years) 9.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	527	326	$315.73	$106.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	254	254	$320.89	$108.11
99213 Established patient office or other outpatient visit, typically 15 minutes	183	153	$224.09	$75.52
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	125	109	$41.00	$13.77
81003 Automated urinalysis test	72	59	$6.00	$2.20
99495 Transitional care management services for problem of at least moderate complexity	49	41	$507.51	$171.38
36415 Insertion of needle into vein for collection of blood sample	33	29	$16.00	$8.65
90662 Influenza vaccine split virus, preservative free	23	22	$164.00	$80.96
G0008 Administration of influenza virus vaccine	23	22	$74.00	$31.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	1,022	114	$319.00	$108.21
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	461	68	$226.00	$89.86
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	290	81	$208.00	$64.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$326.00	$108.27
99213 Established patient office or other outpatient visit, typically 15 minutes	96	82	$228.00	$75.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	70	$320.00	$107.37
99496 Transitional care management services for problem of high complexity	37	28	$692.00	$231.22
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	23	17	$332.00	$129.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	423	86	$335.00	$113.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	286	66	$226.00	$76.28
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	285	76	$226.00	$76.28
99213 Established patient office or other outpatient visit, typically 15 minutes	91	62	$227.51	$76.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	39	$320.00	$108.32
90662 Influenza vaccine split virus, preservative free	23	23	$162.17	$68.40
G0008 Administration of influenza virus vaccine	23	23	$43.48	$28.69
99496 Transitional care management services for problem of high complexity	18	16	$692.00	$234.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$264.00	$112.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	450	93	$183.00	$78.14
99316 Nursing facility discharge management, more than 30 minutes	19	19	$212.00	$90.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$229.00	$99.56
99336 Established patient assisted living visit, typically 40 minutes	11	11	$271.00	$115.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,480	279	$186.00	$77.66
99335 Established patient assisted living visit, typically 25 minutes	166	45	$193.00	$80.90
99316 Nursing facility discharge management, more than 30 minutes	90	82	$215.00	$89.86
99336 Established patient assisted living visit, typically 40 minutes	86	32	$276.00	$115.49
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$149.00	$62.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,487	216	$151.00	$77.85
99335 Established patient assisted living visit, typically 25 minutes	485	73	$161.00	$80.69
99336 Established patient assisted living visit, typically 40 minutes	217	56	$227.00	$115.57
99213 Established patient office or other outpatient visit, typically 15 minutes	163	111	$122.00	$61.53
99316 Nursing facility discharge management, more than 30 minutes	93	84	$175.00	$90.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	68	17	$115.00	$58.90
85610 Blood test, clotting time	58	14	$21.00	$4.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	19	$73.00	$36.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	13	$34.00	$17.88
11042 Removal of skin and tissue, 20.0 sq cm or less	27	18	$190.00	$96.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$181.00	$90.64
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	11	11	$104.00	$51.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,376	166	$181.14	$77.27
99335 Established patient assisted living visit, typically 25 minutes	252	31	$188.63	$80.52
99336 Established patient assisted living visit, typically 40 minutes	223	33	$266.45	$114.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	111	$213.02	$90.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	113	34	$133.98	$58.49
85610 Blood test, clotting time	104	20	$20.04	$5.28
99316 Nursing facility discharge management, more than 30 minutes	100	83	$208.51	$89.81
99213 Established patient office or other outpatient visit, typically 15 minutes	86	68	$140.96	$61.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	68	18	$38.98	$16.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	15	$85.49	$36.41
99315 Nursing facility discharge day management, 30 minutes or less	19	16	$146.16	$62.01

Medical Specialties & State Licenses

CMS Verified: 2025-12-16

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9106930

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License FL PA9106930

Definition to come...

Hospital & Practice Group Affiliations

Baptist Agewell Physicians Inc

98 Nocatee Village Dr, Ponte Vedra, FL 320816152

Phone: 9042024243

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

Norma Nestor-Jean Claude , ARNP

Nurse Practitioner

NPI 1114962347

Advanced Registered Nurse Practitioner

Dr. Robin Beck , MD

Internal Medicine - Geriatric Medicine

NPI 1194781138

Doctor of Medicine (M.D.)

Latonya Green , APRN

Nurse Practitioner

NPI 1245770379

Advanced Practice Registered Nurse

Dr. Gerardo Baldassarri , MD

Family Medicine

NPI 1275504581

Doctor of Medicine (M.D.)

Rosemary Wilson , APRN

Nurse Practitioner

NPI 1306392949

Advanced Practice Registered Nurse

Anne Cordes

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1316295967

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events

📍

Updated Practice Location December 16, 2025

Registered at 98 NOCATEE VILLAGE DR, PONTE VEDRA, FL 320816152 (Tel: 9042024243)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2024

Physician Assistant (License #PA9106930 in FL)

📍

Updated Practice Location September 14, 2023

Registered at 820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 322078205 (Tel: 9042023860)

📍

Updated Business Mailing Address September 14, 2023

Registered at PO BOX 746638, ATLANTA, GA 303746638 (Tel: 9042021032)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2023

Physician Assistant (License #PA9106930 in FL)

📍

Updated Practice Location December 31, 2018

Registered at 1127 16TH AVE S, JACKSONVILLE BEACH, FL 32250 (Tel: 9042477778)

📍

Updated Business Mailing Address December 31, 2018

Registered at PO BOX 45443, SALT LAKE CITY, UT 841450443 (Tel: 9042021032)

✅

NPI Profile Active January 12, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 12, 2018

Registered at PO BOX 44004, JACKSONVILLE, FL 322314004 (Tel: 9042021032)

📍

Updated Practice Location January 12, 2018

Registered at 1127 16TH AVE S, JACKSONVILLE BEACH, FL 322503213 (Tel: 9042477778)

👤

Provider Name / Credentials Updated January 12, 2018

Recorded as WILEY FOWLER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2018

Physician Assistant

✅

NPI Profile Active October 08, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 08, 2012

Registered at 1127 16TH AVE S, JACKSONVILLE BEACH, FL 322503213 (Tel: 9042477778)

📍

Updated Business Mailing Address October 08, 2012

Registered at 1416 KIPLING LN, PONTE VEDRA, FL 320817031 (Tel: 9048088414)

👤

Provider Name / Credentials Updated October 08, 2012

Recorded as WILEY FOWLER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2012

Physician Assistant

🟢

Initial NPI Registration & Enumeration October 08, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1780936278

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 08, 2012

Last Update: December 16, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 746638

Atlanta, GA 303746638

Phone: 9042022092

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.