DEREK WONG (D.O.) – Internal Medicine Physician, NPI 1114374782

DEREK WONG (D.O.) is a healthcare provider. based in Clinton township, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 34.014422 (OH). The NPI Number for DEREK WONG (D.O.) is 1114374782

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DEREK WONG (D.O.)
NPI
1114374782
Phone
(626) 696-5857
Address
44400 Bayview Ave
Enumeration Date
24 May 2016
Last Update Date
29 September 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3303866442
Graduation Year
2017 (9 years ago)
PAC ID
9335561463
Group Practice PAC ID
3971506932
Professional Enrollment ID
I20230403000787
Address ID
WV260341601CH125XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for DEREK WONG (D.O.)

  • 44400 Bayview Ave

    #47308

    Clinton Township, MI 480381579

    Phone: (626) 696-5857

    Type: Location

  • 330 N Market St Ste B

    Lisbon, OH 444321146

    Phone: (330) 870-4601

    Fax: (330) 870-4189

    Type: Location

  • 123 W 6th St

    East Liverpool, OH 439202921

    Phone: (330) 385-7170

    Fax: (330) 385-6359

    Type: Location

  • 16761 Saint Clair Ave # 2

    East Liverpool, OH 439209400

    Phone: (330) 932-3301

    Fax: (330) 368-0957

    Type: Location

  • East Liverpool City Hospital, 425, West 5th Street, Diamond Historic District, Jethro, East Liverpool, Columbiana County, Ohio, 43920, United States

    EAST LIVERPOOL, OH 439202405

    Phone: (330) 385-7200

    Type: Mailing

  • PO BOX 645409

    PITTSBURGH, PA 152645252

    Phone: (330) 386-6442

    Fax: (330) 386-3660

    Type: Mailing

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-02-05 • Largest payer in this snapshot: Eisai Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Eisai Inc.$18
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: 2023-04-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200618002774IInternal MedicineOHTBD
I20230403000787IInternal MedicineWVTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes217105$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes11262$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9990$0
99239Hospital discharge day management, more than 30 minutes7472$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5325$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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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: 3971506932View full group profile
NameSpecialtyState
Infectious Disease, HospitalistNV
Nurse PractitionerOH
-OH
Internal MedicineOH
Emergency Medicine, Internal MedicineOH
Emergency MedicineAR
Emergency MedicineWI
Emergency MedicineOH
Internal MedicineOH
O B S T E T R I C S/ G Y N E C O L O G YPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DEREK WONG (D.O.)?
DEREK WONG (D.O.) — NPI 1114374782 — is the standard way to identify this listing.
Can I rely on DEREK WONG (D.O.) being an active provider?
As of the registry snapshot, DEREK WONG (D.O.) is marked active.
What healthcare role does DEREK WONG (D.O.) hold?
Scheduling teams often label DEREK WONG (D.O.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DEREK WONG (D.O.) list a practice location?
Patients near Clinton Township, Michigan may find DEREK WONG (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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