Wylder Shepherd Fondaw, PA
Physician Assistant · Greensboro, NC
Wylder Shepherd Fondaw, PA is a physician assistant with a practice address in Greensboro, North Carolina, and NPI 1205450400, issued on Jun 3, 2020. Check the license (North Carolina 0010-10234, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Wylder Shepherd Fondaw
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0010-10234 NC
Self-reported in NPPES; status is on the state search - Practice location
- 1126 N Church St, Greensboro, NC 27401
- Phone
- (336) 832-7000
- Enumerated
- Jun 3, 2020
- Record last updated
- Jul 18, 2023
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 9,279 in North Carolina → Look up another NPI →
Also registered at 1126 N Church St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Wylder Shepherd Fondaw in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 0010-10234Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
87% fewer Medicare Part D claims than the average physician assistant in 2024
107 Medicare Part D claims for 66 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Most prescribed
- Ondansetron Odt15 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.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $25.75
1 payment: food and beverage; the largest payer was Inari Medical, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Wylder Shepherd Fondaw among 9,279 physician assistant records in North Carolina
Wylder Shepherd Fondaw, PA is one of 9,279 physician assistant records with a practice address in North 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 2020, is newer than 67% of them.
- NPI issued2020 · 67% of these records are older, 28% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileNo · 69% of these records are
- Record last updated2023 · 35% 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 North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
343 physician assistant records list a practice address in Greensboro
They are 343 of the 8,190 NPPES records with a practice address in Greensboro, and 9,279 physician assistant records in North Carolina.
All 9,279 in North Carolina → Every provider in Greensboro → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Gilbert Clark, PA-CGreensboro, NC 274011629023338
- Brooke Edmisten, PA-CGreensboro, NC 274011811977184
- Julie Idol, PAGreensboro, NC 274011073565552
- Mary Kureczka, PAGreensboro, NC 274011174575468
- Brian Petrarca, PAGreensboro, NC 274011457323867
- Jennifer Lee Presson, PAGreensboro, NC 274011720048432
- Jane Roberts, PACGreensboro, NC 274011134162654
- Myron Roddenberry, PAGreensboro, NC 274011346245040
Common questions
What is Wylder Shepherd Fondaw, PA's NPI number?
Wylder Shepherd Fondaw, PA's National Provider Identifier (NPI) is 1205450400, issued on Jun 3, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Wylder Shepherd Fondaw, PA located?
The NPPES record lists a practice address at 1126 N Church St, Greensboro, NC, 27401. Phone: (336) 832-7000. Providers update this record themselves, so call before visiting.
How can I verify Wylder Shepherd Fondaw, PA's license?
NPPES lists North Carolina license number 0010-10234, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
How much does Wylder Shepherd Fondaw, PA prescribe under Medicare Part D?
In 2024, Wylder Shepherd Fondaw, PA had 107 Medicare Part D claims for 66 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Wylder Shepherd Fondaw, PA's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
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.