DR. JACQUELINE MAHN KWAN WONG (M.D.) – Obstetrics & Gynecology Physician, NPI 1043609712
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
632 OBSTETRICS/GYNECOLOGY in OR
Provider Addresses for DR. JACQUELINE MAHN KWAN WONG (M.D.)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
Phone: (503) 418-4500
Fax: (503) 494-1678
Type: Location
250 E SUPERIOR ST
DEPT OBSTETRICS AND GYNECOLOGY
CHICAGO, IL 606112914
Phone: (312) 472-4673
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,472.
Total Amount is formed as General ($1,472) + Research ($0) + Ownership ($0) = $1,472.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,472).
Total Amount
$1,472
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,472
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,472 |
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: 2021-07-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210727002198 | I | Obstetrics/Gynecology | OR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97239)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Sleep Medicine | NC | |
| P A T H O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Internal Medicine | NY | |
| Family Practice | OR | |
| Internal Medicine | NJ | |
| Emergency Medicine | CA | |
| Cardiovascular Disease (Cardiology) | OR | |
| Diagnostic Radiology | OR | |
| N E U R O L O G Y | OR |
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