JEFFREY WANG (DO) – Obstetrics & Gynecology Physician, NPI 1043502800

JEFFREY WANG (DO) is a healthcare provider. based in Grapevine, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. OT014145 (PA). The NPI Number for JEFFREY WANG (DO) is 1043502800

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY WANG (DO)
NPI
1043502800
Phone
(972) 256-3700
Address
3600 William D Tate Ave Ste 200
Enumeration Date
11 May 2011
Last Update Date
16 October 2020

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9722563700
Graduation Year
2011 (15 years ago)
PAC ID
7113234139
Group Practice PAC ID
8426102625
Professional Enrollment ID
I20150923001238
Address ID
TX760403716EU2101XCTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for JEFFREY WANG (DO)

  • 3600 William D Tate Ave Ste 200

    Grapevine, TX 760518722

    Phone: (972) 256-3700

    Fax: (866) 630-6348

    Type: Location

  • 3501 N MACARTHUR BLVD STE 500

    IRVING, TX 750623675

    Phone: (972) 256-3700

    Fax: (866) 630-6348

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $261.

Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: SHIELD THERAPEUTICS INC ($93).

Total Amount

$261

General + Research + Ownership

Payments

9

Total payment records

General Amount

$261

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2015-09-23

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
I20150923001238IObstetrics/GynecologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76051)

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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: 8426102625View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCT
Physician AssistantTX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Physical Therapist In Private PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What is the standard ID for JEFFREY WANG (DO) in the U.S.?
In the U.S., JEFFREY WANG (DO) is identified by NPI 1043502800.
Quick check: is JEFFREY WANG (DO) active?
Public NPPES data shows JEFFREY WANG (DO) with an active NPI status right now.
What does the directory say JEFFREY WANG (DO) does?
Insurance directories may phrase it differently, but here JEFFREY WANG (DO) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JEFFREY WANG (DO) in Grapevine, Texas?
For routing, start with Grapevine, Texas for JEFFREY WANG (DO), then verify phone and hours locally.
Why is information missing for JEFFREY WANG (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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