DR. GORDON K WANG (MD) – Family Medicine Physician, NPI 1174517205

DR. GORDON K WANG (MD) is a healthcare provider. based in Punta gorda, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME0072508 (FL). The NPI Number for DR. GORDON K WANG (MD) is 1174517205

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. GORDON K WANG (MD)
NPI
1174517205
Phone
(941) 505-0974
Address
100 MADRID BLVD
Enumeration Date
5 September 2005
Last Update Date
23 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392020059
Graduation Year
1988 (38 years ago)
PAC ID
1658331848
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20041012001445
Address ID
FL339196775FO1499XCIRX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. GORDON K WANG (MD)

  • 100, Madrid Boulevard, Punta Gorda, Charlotte County, Florida, 33950, United States

    513

    PUNTA GORDA, FL 339507968

    Phone: (941) 505-0974

    Fax: (941) 637-9000

    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 5 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Boston Scientific Corporation ($69).

Total Amount

$126

General + Research + Ownership

Payments

5

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

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: 2004-10-12

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
I20041012001445IFamily PracticeFLTBD

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
36415Insertion of needle into vein for collection of blood sample896247$0
99214Established patient office or other outpatient visit, 30-39 minutes791229$0
99213Established patient office or other outpatient visit, 20-29 minutes434185$0
99497Advance care planning, first 30 minutes210210$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit189189$0
View full utilization report →

Insurance plans in this area (ZIP 33950)

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Provider's Procedures

DR. GORDON K WANG (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL81002Urinalysis, manual test5442
FAMILY MEDICINEFL85610Blood test, clotting time11114
FAMILY MEDICINEFL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1111

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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

Can I cross-check DR. GORDON K WANG (MD) using NPI 1174517205?
NPI 1174517205 belongs to DR. GORDON K WANG (MD); compare other details if you need extra assurance.
Would DR. GORDON K WANG (MD) appear as active to a payer?
You can treat DR. GORDON K WANG (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. GORDON K WANG (MD)?
DR. GORDON K WANG (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GORDON K WANG (MD)?
Directory geography for DR. GORDON K WANG (MD) centers on Punta Gorda, Florida.
Does DR. GORDON K WANG (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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