JEFFREY C WANG (MD) – Family Medicine Physician, NPI 1104086958

JEFFREY C WANG (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 01071171A (IN). The NPI Number for JEFFREY C WANG (MD) is 1104086958

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY C WANG (MD)
NPI
1104086958
Phone
Not provided
Address
250 N SHADELAND AVE
Enumeration Date
16 June 2008
Last Update Date
3 June 2026

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7654488000
Graduation Year
2008 (18 years ago)
PAC ID
9931363470
Group Practice PAC ID
0749184380
Professional Enrollment ID
I20120612000607
Address ID
IN479042477LA2600XSTXX300

Contacts

Secure Messaging
jwang2@direct.iuhealth.org
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness95
Years active:17State licenses:2Other names

2,861 FAMILY PRACTICE in IN

Provider Addresses for JEFFREY C WANG (MD)

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 1 Walter Scholer Dr

    Lafayette, IN 479096303

    Phone: (765) 448-8000

    Type: Location

  • 1200 W WHITE RIVER BLVD

    MUNCIE, IN 473034988

    Phone: (877) 668-5621

    Type: Mailing

  • Prophetstown Aquatic Center, 5545, Swisher Road, West Lafayette, Tippecanoe County, Indiana, 47906, United States

    LAFAYETTE, IN 479035545

    Phone: (765) 448-8000

    Type: Mailing

  • IU Health Arnett Physicians, 1, Walter Scholer Drive, Lafayette, Tippecanoe County, Indiana, 47909, United States

    LAFAYETTE, IN 479096303

    Phone: (765) 448-8000

    Type: Location

  • 5177 MCCARTY LN

    LAFAYETTE, IN 479058764

    Phone: (765) 448-8000

    Fax: (765) 448-7613

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Pharmacosmos Therapeutics Inc. ($80).

Total Amount

$80

General + Research + Ownership

Payments

4

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-17

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: 2012-06-12

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
I20120612000607IFamily PracticeINTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg670121$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg664121$0
99213Established patient office or other outpatient visit, 20-29 minutes248149$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg23264$0
99214Established patient office or other outpatient visit, 30-39 minutes168131$0
View full utilization report →

Insurance plans in this area (ZIP 46219)

Loading plans...

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: 0749184380View full group profile
NameSpecialtyState
-IN
-IN
-KY
Physician AssistantIN
Physician AssistantMI
Internal MedicineIN
Anesthesiology, Pain ManagementTN
Internal Medicine, HospitalistIN
U R O L O G YNC
Nurse PractitionerIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows JEFFREY C WANG (MD) across health systems?
The NPI 1104086958 uniquely identifies JEFFREY C WANG (MD) in U.S. healthcare data.
Is JEFFREY C WANG (MD) currently accepting referrals based on NPI status?
Registry metadata lists JEFFREY C WANG (MD) as active.
How should patients interpret JEFFREY C WANG (MD)'s specialty?
The extract shows Family Medicine Physician for JEFFREY C WANG (MD). Clinical services aligned with this taxonomy classification.
Is JEFFREY C WANG (MD) tied to Indianapolis, Indiana?
If you are local to Indianapolis, Indiana, JEFFREY C WANG (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.