FREDERICK WANG (M.D.) – Plastic Surgery Physician, NPI 1487978235
Plastic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA
Provider Addresses for FREDERICK WANG (M.D.)
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
Phone: (818) 719-2630
Type: Mailing
5841 S MARYLAND AVE MC 6035
CHICAGO, IL 60637
Phone: (773) 702-6302
Type: Location
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone:
Type: Mailing
5841 S MARYLAND AVE # MC6035
CHICAGO, IL 606371443
Phone: (773) 702-6302
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $258.
Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Mentor Worldwide LLC ($148).
Total Amount
$258
General + Research + Ownership
Payments
3
Total payment records
General Amount
$258
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $148 |
| AXOGEN | $110 |
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: 2021-08-26
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 |
|---|---|---|---|---|
| I20191017002350 | I | Plastic And Reconstructive Surgery | IL | TBD |
| I20210826002804 | I | Plastic And Reconstructive 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91367)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA | |
| Internal Medicine, Gastroenterology | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | NC | |
| O P H T H A L M O L O G Y | CA | |
| Anesthesiology, Pain Management | NH | |
| Family Practice, Sports Medicine | CA |
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