DR. CHEN WANG (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1174599260
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CHEN WANG (M.D.)
4909 N Glen Park Place Rd
Peoria, IL 616144676
Phone: (309) 674-7546
Type: Location
4909, North Glen Park Pl Road, Peoria, Peoria County, Illinois, 61614, United States
PEORIA, IL 616144676
Phone: (309) 674-7546
Type: Mailing
424 S 56TH ST STE 110
PHOENIX, AZ 850342177
Phone: (602) 685-5211
Fax: (480) 478-8091
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-03-07 • Largest payer in this snapshot: PFIZER INC. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $15 |
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: 2020-11-12
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 |
|---|---|---|---|---|
| I20191120003412 | I | Dermatology | AZ | TBD |
| I20201112002089 | I | Pathology | CO | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,381 | 1,269 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 162 | 139 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 124 | 76 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 75 | 67 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 42 | 30 | $0 |
Insurance plans in this area (ZIP 61614)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | IL | 88342 | Tissue or cell analysis by immunologic technique | 393 | 322 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AR | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | FL |
Reviews
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