PETER WONG (MD) – Vascular Surgery Physician, NPI 1952344509

PETER WONG (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 4301076962 (MI). The NPI Number for PETER WONG (MD) is 1952344509

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
PETER WONG (MD)
NPI
1952344509
Phone
(616) 267-8700
Address
4069 Lake Dr SE
Enumeration Date
13 June 2006
Last Update Date
21 October 2020

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
6163915600
Graduation Year
2002 (24 years ago)
PAC ID
5597733261
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20040924000226

Contacts

Secure Messaging
pwong352306@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
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

242 VASCULAR SURGERY in MI

Provider Addresses for PETER WONG (MD)

  • 4069 Lake Dr SE

    S-312

    Grand Rapids, MI 495468816

    Phone: (616) 267-8700

    Type: Location

  • 2 GOOD SAMARITAN WAY STE 235

    MOUNT VERNON, IL 628642476

    Phone: (618) 899-3980

    Type: Location

  • PO BOX 955860 MC 845

    SAINT LOUIS, MO 631952560

    Phone: (636) 498-5944

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $3,076.

Total Amount is formed as General ($3,076) + Research ($0) + Ownership ($0) = $3,076.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Endologix LLC ($2,163).

Total Amount

$3,076

General + Research + Ownership

Payments

18

Total payment records

General Amount

$3,076

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2004-09-24

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
I20040921000173IVascular SurgeryILTBD
I20040924000226IVascular SurgeryMITBD

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
99203New patient office or other outpatient visit, 30-44 minutes122122$0
93922Ultrasound study of arm and leg arteries8175$0
93880Ultrasound of both sides of head and neck blood flow6363$0
76937Ultrasonic guidance for blood vessel access6355$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers4131$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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Provider's Procedures

PETER WONG (MD) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYMI93922Ultrasound study of arteries of both arms and legs1717
VASCULAR SURGERYMI93926Ultrasound study of arteries and arterial grafts of one leg or limited2221

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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I cross-check PETER WONG (MD) using NPI 1952344509?
NPI 1952344509 belongs to PETER WONG (MD); compare other details if you need extra assurance.
Is there an active status for PETER WONG (MD)?
For scheduling context, PETER WONG (MD) is shown as active in the registry.
What clinical focus is listed for PETER WONG (MD)?
At a glance, PETER WONG (MD) is tied to Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PETER WONG (MD)?
Travel planning: use Grand Rapids, Michigan as the reference point for PETER WONG (MD), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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