DR. GRANGER BRADFORD WONG (MD,DMD,FACS) – Plastic Surgery Physician, NPI 1225013790
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
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Provider Addresses for DR. GRANGER BRADFORD WONG (MD,DMD,FACS)
2221, Stockton Boulevard, Sacramento, Sacramento County, California, 95817, United States
SACRAMENTO, CA 958171418
Phone: (916) 734-2130
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $1,473.
Total Amount is formed as General ($1,473) + Research ($0) + Ownership ($0) = $1,473.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Mentor Worldwide LLC ($326).
Total Amount
$1,473
General + Research + Ownership
Payments
30
Total payment records
General Amount
$1,473
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $326 |
| Innovation Technologies Inc | $171 |
| KLS-Martin L.P. | $149 |
| Next Science LLC | $143 |
| Stryker Corporation | $129 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071105000405 | I | Plastic And Reconstructive Surgery | CA | TBD |
| I20081201000141 | I | Plastic And Reconstructive Surgery | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95817)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| - | PA | |
| - | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Physician Assistant | IL | |
| Internal Medicine, Hospice/Palliative Care | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| - | CA |
Reviews
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