CONNIE MENGYAN WANG (M.D.) – Dermatology Physician, NPI 1003250457

CONNIE MENGYAN WANG (M.D.) is a healthcare provider. based in Katy, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. Q9076 (TX). The NPI Number for CONNIE MENGYAN WANG (M.D.) is 1003250457

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE MENGYAN WANG (M.D.)
NPI
1003250457
Phone
(281) 612-0050
Address
4603 FM 1463 RD STE 100
Enumeration Date
28 April 2013
Last Update Date
5 March 2018

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
2816120050
Graduation Year
2013 (13 years ago)
PAC ID
1456618917
Group Practice PAC ID
8729345285
Professional Enrollment ID
I20171208001124
Address ID
TX774411231FU27131DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for CONNIE MENGYAN WANG (M.D.)

  • 4603 FM 1463 RD STE 100

    KATY, TX 774946545

    Phone: (281) 612-0050

    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 339 Open Payments records for all available years, with a total value of $6,323.

Total Amount is formed as General ($6,323) + Research ($0) + Ownership ($0) = $6,323.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($852).

Total Amount

$6,323

General + Research + Ownership

Payments

339

Total payment records

General Amount

$6,323

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2017-12-08

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
I20171208001124IDermatologyTXTBD

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 growths36970$0
99213Established patient office or other outpatient visit, 20-29 minutes194157$0
17110Destruction of skin growth, 1-14 growths135107$0
17000Destruction of precancer skin growth, 1 growth130108$0
99214Established patient office or other outpatient visit, 30-39 minutes11092$0
View full utilization report →

Insurance plans in this area (ZIP 77494)

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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: 8729345285View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
D E R M A T O L O G YMA
Physician AssistantTX
Pathology, DermatologyAL
D E R M A T O L O G YNC
Micrographic Dermatologic Surgery (Mds)TX
Physician AssistantTX
D E R M A T O L O G YTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I use this page to confirm CONNIE MENGYAN WANG (M.D.)'s NPI?
Yes. CONNIE MENGYAN WANG (M.D.) is listed with NPI 1003250457 in the public NPI dataset.
Is CONNIE MENGYAN WANG (M.D.) listed as active for patients and plans?
The listing shows CONNIE MENGYAN WANG (M.D.) as active in the NPI system.
What taxonomy line describes CONNIE MENGYAN WANG (M.D.)?
For research purposes, treat CONNIE MENGYAN WANG (M.D.) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CONNIE MENGYAN WANG (M.D.) on a map?
Expect Katy, Texas as a primary anchor for CONNIE MENGYAN WANG (M.D.) unless the record lists multiple sites.
Why does CONNIE MENGYAN WANG (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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