MONTRI D WONGWORAWAT (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1235175035
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
374 HAND SURGERY in CA
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Provider Addresses for MONTRI D WONGWORAWAT (M.D.)
FILE NUMBER 54701
LOS ANGELES, CA 900740001
Phone: (909) 558-3111
Type: Mailing
11370, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States
SUITE 1500
LOMA LINDA, CA 923543450
Phone: (909) 558-2802
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20091229000278 | I | Hand Surgery | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 90 | 90 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 46 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 32 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 24 | $0 |
| 26055 | Incision of tendon covering of finger | 23 | 15 | $0 |
Insurance plans in this area (ZIP 90074)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HAND SURGERY | CA | 64721 | Release and/or relocation of median nerve of hand | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Critical Care (Intensivists), General Surgery | CA | |
| Surgical Oncology, General Surgery | IL | |
| A N E S T H E S I O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
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