Joshua Formaneck
NPI 1609523125 · Physician Assistant · Newberry, SC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joshua Formaneck is a Physician Assistant provider in Newberry, SC (NPI 1609523125).
Provider details
- NPI number
- 1609523125
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PA4217 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
31 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 16 | $102 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 15 | $72 |
Typical Medicare-allowed amounts for these services range $72–$102 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 13 | 13 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 13 | 13 |
| Prednisone | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Frequently asked questions
- What is Joshua Formaneck's NPI number?
- Joshua Formaneck's National Provider Identifier (NPI) is 1609523125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joshua Formaneck's specialty?
- Joshua Formaneck is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Joshua Formaneck located?
- Joshua Formaneck's practice location on file with NPPES is 1410 Wilson Rd, Newberry, SC 29108-3050.
- What is Joshua Formaneck's phone number?
- The practice phone number listed in the NPPES registry for Joshua Formaneck is (803) 276-2186.
- Does Joshua Formaneck accept Medicare?
- Joshua Formaneck is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joshua Formaneck's NPI active?
- Yes — Joshua Formaneck's NPI (1609523125) is active in the NPPES registry as of the last update on 2024-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.