DR. RANDOLPH WY WONG (M.D.) – Surgery Physician, NPI 1811038649

DR. RANDOLPH WY WONG (M.D.) is a healthcare provider. based in Los altos, California. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. G76113 (CA). The NPI Number for DR. RANDOLPH WY WONG (M.D.) is 1811038649

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDOLPH WY WONG (M.D.)
NPI
1811038649
Phone
(650) 652-8787
Address
325 DISTEL CIR
Enumeration Date
12 February 2007
Last Update Date
19 June 2020

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
6505732222
Graduation Year
1988 (38 years ago)
PAC ID
9537231196
Group Practice PAC ID
9032023171
Professional Enrollment ID
I20080626000658
Address ID
CA944034364SA222XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for DR. RANDOLPH WY WONG (M.D.)

  • 325, Distel Circle, Los Altos, Santa Clara County, California, 94022, United States

    LOS ALTOS, CA 940221408

    Phone: (650) 652-8787

    Type: Mailing

  • Mills-Peninsula Medical Center, 1501, Trousdale Drive, Burlingame Village, Burlingame, San Mateo County, California, 94010, United States

    5TH FLOOR

    BURLINGAME, CA 940104506

    Phone: (650) 652-8787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $3,100.

Total Amount is formed as General ($3,100) + Research ($0) + Ownership ($0) = $3,100.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,559).

Total Amount

$3,100

General + Research + Ownership

Payments

9

Total payment records

General Amount

$3,100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-06-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080626000658IGeneral SurgeryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes9292$0
99213Established patient office or other outpatient visit, 20-29 minutes5551$0
46221Removal of external hemorrhoids by rubber banding4334$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3825$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3130$0
View full utilization report →

Insurance plans in this area (ZIP 94022)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032023171View full group profile

Reviews

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Frequently asked questions

Does DR. RANDOLPH WY WONG (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RANDOLPH WY WONG (M.D.) uses 1811038649.
Is DR. RANDOLPH WY WONG (M.D.) listed as active for patients and plans?
The listing shows DR. RANDOLPH WY WONG (M.D.) as active in the NPI system.
What is DR. RANDOLPH WY WONG (M.D.) best known for clinically?
Directory data describes DR. RANDOLPH WY WONG (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DR. RANDOLPH WY WONG (M.D.) serve?
DR. RANDOLPH WY WONG (M.D.)'s listing highlights Los Altos, California; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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