LAWRENCE L WANG (M.D., PHD) – Dermatology Physician, NPI 1376568980

LAWRENCE L WANG (M.D., PHD) is a healthcare provider. based in St. louis, Missouri. specializing in DERMATOLOGY. They hold the professional credentials M.D., PHD. They hold a License No. 2005004447 (MO). The NPI Number for LAWRENCE L WANG (M.D., PHD) is 1376568980

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE L WANG (M.D., PHD)
NPI
1376568980
Phone
(314) 842-5660
Address
10004 KENNERLY RD
Enumeration Date
13 July 2006
Last Update Date
18 August 2010

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3148425660
Graduation Year
2001 (25 years ago)
PAC ID
8820033343
Group Practice PAC ID
1153303011
Professional Enrollment ID
I20050624000909
Address ID
MO631271569SA12200RDXX413
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

337 DERMATOLOGY in MO

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Provider Addresses for LAWRENCE L WANG (M.D., PHD)

  • 10004, Kennerly Road, Concord, Saint Louis County, Missouri, 63128, United States

    #375-B

    ST. LOUIS, MO 631282190

    Phone: (314) 842-5660

    Fax: (314) 842-0169

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 430 Open Payments records for all available years, with a total value of $9,388.

Total Amount is formed as General ($9,388) + Research ($0) + Ownership ($0) = $9,388.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($2,952).

Total Amount

$9,388

General + Research + Ownership

Payments

430

Total payment records

General Amount

$9,388

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2005-06-24

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
I20050624000909IDermatologyMOTBD

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
17003Destruction of precancer skin growth, 2-14 growths5,357771$0
99213Established patient office or other outpatient visit, 20-29 minutes1,7571,309$0
17000Destruction of precancer skin growth, 1 growth1,189878$0
11102Biopsy of related skin growth, first growth710608$0
11103Biopsy of related skin growth, each additional growth312198$0
View full utilization report →

Insurance plans in this area (ZIP 63128)

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Provider's Procedures

LAWRENCE L WANG (M.D., PHD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMO11101Biopsy of each additional growth of skin and/or tissue621356

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: 1153303011View full group profile
NameSpecialtyState
D E R M A T O L O G YMO
D E R M A T O L O G YMO
D E R M A T O L O G YMO
Nurse PractitionerMO
Physician AssistantMO
D E R M A T O L O G YMO
D E R M A T O L O G YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What unique ID ties claims to LAWRENCE L WANG (M.D., PHD)?
NPI 1376568980 is assigned to LAWRENCE L WANG (M.D., PHD) under the national enumeration system.
Does this profile mean LAWRENCE L WANG (M.D., PHD) is currently active?
Yes — LAWRENCE L WANG (M.D., PHD) appears active in the national provider directory.
What does LAWRENCE L WANG (M.D., PHD) treat or focus on?
Patients typically see LAWRENCE L WANG (M.D., PHD) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for LAWRENCE L WANG (M.D., PHD)?
The page summarizes St. Louis, Missouri for LAWRENCE L WANG (M.D., PHD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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