DR. NELSON KIRK WONG (MD) – Family Medicine Physician, NPI 1578563854

DR. NELSON KIRK WONG (MD) is a healthcare provider. based in Cairo, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036106344 (IL). The NPI Number for DR. NELSON KIRK WONG (MD) is 1578563854

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. NELSON KIRK WONG (MD)
NPI
1578563854
Phone
(618) 734-4400
Address
13245 KESSLER RD
Enumeration Date
28 July 2005
Last Update Date
27 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6188993500
Graduation Year
1999 (27 years ago)
PAC ID
6507998705
Group Practice PAC ID
9234022567
Professional Enrollment ID
I20100723000675
Address ID
IL628640000MO4103XPLAC400
Telehealth
Yes

Contacts

Secure Messaging
nwong254338@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. NELSON KIRK WONG (MD)

  • 13245 KESSLER RD

    CAIRO, IL 629143101

    Phone: (618) 734-4400

    Fax: (618) 734-2884

    Type: Location

  • PO BOX 3008

    CARBONDALE, IL 629023008

    Phone: (618) 457-0450

    Fax: (618) 457-7329

    Type: Mailing

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 $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-05-11 • Largest payer in this snapshot: ABBVIE INC. ($24).

Total Amount

$58

General + Research + Ownership

Payments

3

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-11

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: 2010-07-23

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
I20100723000675IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes583392$0
99213Established patient office or other outpatient visit, 20-29 minutes486334$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit358358$0
99495Transitional care management services for problem of at least moderate complexity4841$0
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage4745$0
View full utilization report →

Insurance plans in this area (ZIP 62914)

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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: 9234022567View full group profile
NameSpecialtyState
Vascular SurgeryIL
P A T H O L O G YIL
Sleep Medicine, Pediatric MedicineMO
P O D I A T R YMO
Nurse PractitionerMO
Family PracticeMO
General SurgeryMO
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. NELSON KIRK WONG (MD)?
DR. NELSON KIRK WONG (MD) — NPI 1578563854 — is the standard way to identify this listing.
Does CMS list DR. NELSON KIRK WONG (MD) as active?
Yes — DR. NELSON KIRK WONG (MD) is active in the NPI listing used on this page.
What is DR. NELSON KIRK WONG (MD)'s specialty?
The listing groups DR. NELSON KIRK WONG (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. NELSON KIRK WONG (MD)?
DR. NELSON KIRK WONG (MD)'s geographic hint is Cairo, Illinois in our summary view.
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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