FRED T. WANG (MD) – Diagnostic Radiology Physician, NPI 1306958368

FRED T. WANG (MD) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 25MA10038800 (NJ). The NPI Number for FRED T. WANG (MD) is 1306958368

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
FRED T. WANG (MD)
NPI
1306958368
Phone
(952) 595-1301
Address
11995 SINGLETREE LN
Enumeration Date
31 August 2006
Last Update Date
31 October 2017

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
6102374814
Graduation Year
1994 (32 years ago)
PAC ID
9032171368
Group Practice PAC ID
1153233283
Professional Enrollment ID
I20070523000266
Address ID
PA190231200DA1500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

222 DIAGNOSTIC RADIOLOGY in DE

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Provider Addresses for FRED T. WANG (MD)

  • 11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    STE 500

    EDEN PRAIRIE, MN 553445347

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 12, Harvest Lane, Cornish Hills, Runnymeade, Hockessin, New Castle County, Delaware, 19707, United States

    HOCKESSIN, DE 197072080

    Phone: (952) 595-1100

    Fax: (612) 294-4903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-06-20

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
I20070523000266IDiagnostic RadiologyPATBD
I20070620000372IDiagnostic RadiologyDETBD

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
77067Screening mammography397397$0
77063Screening 3d breast mammography395395$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)284282$0
77066Diagnostic mammography of both breasts174174$0
74177Ct scan of abdomen and pelvis with contrast147143$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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Provider's Procedures

FRED T. WANG (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYDE71010X-ray of chest, 1 view, front448399
DIAGNOSTIC RADIOLOGYDE71250CT scan chest4544
DIAGNOSTIC RADIOLOGYDE73110X-ray of wrist, minimum of 3 views1615
DIAGNOSTIC RADIOLOGYDE73630X-ray of foot, minimum of 3 views3228
DIAGNOSTIC RADIOLOGYDE74177CT scan of abdomen and pelvis with contrast8181
DIAGNOSTIC RADIOLOGYDE93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers6262

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: 1153233283View full group profile
NameSpecialtyState
Diagnostic RadiologyNJ
Diagnostic RadiologyDE
Diagnostic RadiologyCT
Diagnostic Radiology, Interventional RadiologyNJ
Diagnostic RadiologyNH
Diagnostic RadiologyNH
Diagnostic RadiologyMD
Interventional Radiology, Interventional Radiology, Diagnostic Radiology, Internal Medicine, Diagnostic RadiologyNJ
Diagnostic Radiology, Interventional RadiologyNJ
Diagnostic RadiologyPA

Reviews

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Frequently asked questions

How do payers reference FRED T. WANG (MD)?
For FRED T. WANG (MD), use NPI 1306958368 as the unique 10-digit identifier.
Is there an active status for FRED T. WANG (MD)?
For scheduling context, FRED T. WANG (MD) is shown as active in the registry.
What area of care is associated with FRED T. WANG (MD)?
FRED T. WANG (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with FRED T. WANG (MD)?
Directory geography for FRED T. WANG (MD) centers on Eden Prairie, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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