Doctor profile · Federal record
Dr. Wylder Fondaw, PA
Physician Assistant · Medical Physician Assistant · Greensboro, NC
- NPI 1205450400
- MIPS 75.0 / 100 · 2023
- 6 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1126 N Church St
Greensboro, NC 274011000
(336) 832-7000 - Mailing address
-
1601 Seward Dr
Johnson City, TN 376047143
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Profile last updated
- July 18, 2023
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- North Carolina #0010-10234
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205450400. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
181
Distinct HCPCS
4
Medicare allowed
$21,376
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 78 | 74 | $145 | |
99284 |
Emergency department visit with moderate level of medical decision making | 53 | 53 | $100 | |
99291 |
Critical care, first 30-74 minutes | 26 | 25 | $176 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 24 | 24 | $7 |
In context: peer comparison
Among 93 peers in this city , average services per provider: 97. This provider delivers 1.9× the peer median.Open Payments
Industry payments received
All-time total
$26
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inari Medical, Inc. | 1 | $25.75 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
42
Patients
42
Total drug cost
$244
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ondansetron Odt (Ondansetron) | Brand | 18 | 18 | $131 |
| Dicyclomine Hcl | Generic | 12 | 12 | $51 |
| Prednisone | Generic | 12 | 12 | $61 |
Frequently asked questions
What is Dr. Wylder Fondaw's medical specialty?
Dr. Wylder Fondaw practices Physician Assistant in Greensboro, NC.
Where does Dr. Wylder Fondaw practice?
Dr. Wylder Fondaw practices at 1126 N Church St, Greensboro, NC 274011000. Office phone: 3368327000.
What is Dr. Wylder Fondaw's NPI?
Dr. Wylder Fondaw's National Provider Identifier (NPI) is 1205450400, issued by NPPES.
What procedures does Dr. Wylder Fondaw commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.