TIMOTHY S WANG (MD) – Dermatology Physician, NPI 1508954330

TIMOTHY S WANG (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. D69642 (MD). The NPI Number for TIMOTHY S WANG (MD) is 1508954330

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY S WANG (MD)
NPI
1508954330
Phone
(616) 784-9300
Address
650 3 Mile Rd NW Ste 100
Enumeration Date
10 October 2006
Last Update Date
28 March 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9062255458
Graduation Year
1993 (33 years ago)
PAC ID
8426198995
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20171205000949
Address ID
MI498558977MA1007XDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for TIMOTHY S WANG (MD)

  • 650 3 Mile Rd NW Ste 100

    Grand Rapids, MI 495441624

    Phone: (616) 784-9300

    Fax: (616) 784-9308

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 6225 PRAIRIE ST

    NORTON SHORES, MI 494447831

    Phone: (231) 798-9500

    Fax: (231) 798-9533

    Type: Location

  • Mirzabeigi Atlanta Plastic Surgery, 975, Johnson Ferry Road Northeast, Atlanta, Fulton County, Georgia, 30342, United States

    SUITE 300

    ATLANTA, GA 303421418

    Phone: (410) 933-1342

    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 $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-03-13 • Largest payer in this snapshot: Organogenesis Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organogenesis Inc.$28
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: 2017-12-05

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
I20171205000949IDermatologyMITBD

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks257214$0
99212Established patient office or other outpatient visit, 10-19 minutes199138$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks8981$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm8882$0
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm4542$0
View full utilization report →

Insurance plans in this area (ZIP 49544)

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Provider's Procedures

TIMOTHY S WANG (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYGA13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet5958

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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

What is TIMOTHY S WANG (MD)'s NPI number?
TIMOTHY S WANG (MD)'s NPI is 1508954330 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to TIMOTHY S WANG (MD)?
You should see TIMOTHY S WANG (MD) as active in CMS-hosted NPPES data.
What kind of doctor is TIMOTHY S WANG (MD)?
TIMOTHY S WANG (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for TIMOTHY S WANG (MD)?
Travel planning: use Grand Rapids, Michigan as the reference point for TIMOTHY S WANG (MD), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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