DR. JACK-KY WANG (MD) – Family Medicine Physician, NPI 1093744617

DR. JACK-KY WANG (MD) is a healthcare provider. based in Beloit, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 50353-020 (WI). The NPI Number for DR. JACK-KY WANG (MD) is 1093744617

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK-KY WANG (MD)
NPI
1093744617
Phone
(608) 364-2410
Address
1905 E. HUEBBE PARKWAY
Enumeration Date
3 July 2006
Last Update Date
20 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083642200
Graduation Year
1999 (27 years ago)
PAC ID
0042319535
Group Practice PAC ID
8224947858
Professional Enrollment ID
I20080109000815
Address ID
WI535111842BE1905XPKWY400
Telehealth
Yes
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

3,047 FAMILY PRACTICE in WI

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Provider Addresses for DR. JACK-KY WANG (MD)

  • 1905, Huebbe Parkway, City of Beloit, Rock County, Wisconsin, 53511, United States

    BELOIT HEALTH SYSTEM, INC

    BELOIT, WI 535111842

    Phone: (608) 364-2410

    Fax: (608) 364-1287

    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 79 Open Payments records for all available years, with a total value of $1,301.

Total Amount is formed as General ($1,301) + Research ($0) + Ownership ($0) = $1,301.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($418).

Total Amount

$1,301

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,301

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: 2008-01-09

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
I20070625000381IFamily PracticeWITBD
I20080109000815IFamily PracticeILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes512409$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit313313$0
99214Established patient office or other outpatient visit, 30-39 minutes196165$0
99212Established patient office or other outpatient visit, 10-19 minutes3333$0
99495Transitional care management services for problem of at least moderate complexity3128$0
View full utilization report →

Insurance plans in this area (ZIP 53511)

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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: 8224947858View full group profile
NameSpecialtyState
-WI
Family PracticeWI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
Family PracticeWI
Nurse PractitionerWI
Infectious DiseaseWI
Internal MedicineNY
Family PracticeWI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JACK-KY WANG (MD)?
NPI 1093744617 is assigned to DR. JACK-KY WANG (MD) under the national enumeration system.
Is DR. JACK-KY WANG (MD)'s NPI currently valid?
The extract we use shows DR. JACK-KY WANG (MD) as active.
What field does DR. JACK-KY WANG (MD) work in?
You can think of DR. JACK-KY WANG (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JACK-KY WANG (MD)?
We surface Beloit, Wisconsin for DR. JACK-KY WANG (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.