NPPES file of Aug 9, 2026

Joshua Formaneck

Physician Assistant · Newberry, SC

Joshua Formaneck is a physician assistant with a practice address in Newberry, South Carolina, and NPI 1609523125, issued on Mar 4, 2022. Check the license (South Carolina PA4217, as entered in NPPES) with the South Carolina board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1609523125
Name
Joshua Formaneck
Primary taxonomy
Physician Assistant 363A00000X
License number
PA4217 SC
Self-reported in NPPES; status is on the state search
Practice location
1410 Wilson RD, Newberry, SC 29108
Phone
(803) 276-2186
Enumerated
Mar 4, 2022
Record last updated
Nov 11, 2024
Medicare enrollment
Enrolled (PECOS I20220512001210); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1410 Wilson RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jessica Blake, FNPNurse Practitioner1760154447
  2. Rajendra ShresthaPhysician Assistant1275081119
  3. Marnie Vanstrum, MDFamily Medicine Physician1598942963
  4. Kelly Young, FNP-CFamily Nurse Practitioner1831950773

Verify Joshua Formaneck in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
    Search for license PA4217
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the South Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

88% fewer Medicare Part D claims than the average physician assistant in 2024

103 Medicare Part D claims for 72 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.

  1. Joshua Formaneck103
  2. Specialty average830

Most prescribed

  1. Amoxicillin-Clavulanate Potass13 claims
  2. Methylprednisolone13 claims
  3. Prednisone11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 70.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score48.2
  2. Costout of 100 · 30%53.6
  3. Promoting interoperabilityout of 100 · 25%98.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Novant Health Urgent Cares LLCAiken, SC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Joshua Formaneck among 2,294 physician assistant records in South Carolina

Joshua Formaneck is one of 2,294 physician assistant records with a practice address in South Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 69% of them.

  • NPI issued2022 · 69% of these records are older, 24% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2021 · median 2019 among the 1,516 with a school on file
  • Record last updated2024 · 31% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

3 physician assistant records list a practice address in Newberry

They are 3 of the 199 NPPES records with a practice address in Newberry, and 2,294 physician assistant records in South Carolina.

The 8 physician assistant records with the nearest ZIP codes

  1. Mary BatesNewberry, SC 291081104639210
  2. Rajendra ShresthaNewberry, SC 291081275081119
  3. Arika Bryant, PA-CManning, SC 291021285696005
  4. Sonam CogdillManning, SC 291021205440955
  5. Thomas Klvana, PAManning, SC 291021376859470
  6. Patrick Nettles, PA-CManning, SC 291021285235457
  7. Jessica Robinson, PAManning, SC 291021124493200
  8. Barbara Slusher, PA, MSWManning, SC 291021417982984

Common questions

What is Joshua Formaneck's NPI number?

Joshua Formaneck's National Provider Identifier (NPI) is 1609523125, issued on Mar 4, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Joshua Formaneck located?

The NPPES record lists a practice address at 1410 Wilson RD, Newberry, SC, 29108. Phone: (803) 276-2186. Providers update this record themselves, so call before visiting.

How can I verify Joshua Formaneck's license?

NPPES lists South Carolina license number PA4217, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.

How much does Joshua Formaneck prescribe under Medicare Part D?

In 2024, Joshua Formaneck had 103 Medicare Part D claims for 72 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Joshua Formaneck's MIPS final score?

The 2023 MIPS final score is 70.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.