DR. JASON H WONG (MD) – Specialist, NPI 1821052242
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JASON H WONG (MD)
PO BOX 211699
EAGAN, MN 551213699
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Mailing
221 CRESCENT ST
WALTHAM, MA 024533475
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Location
3711, Pacific Avenue, Tacoma, Pierce County, Washington, 98418, United States
STE. 200
TACOMA, WA 984187800
Phone: (253) 471-3464
Fax: (253) 474-6880
Type: Location
1525, Northwest 57th Street, Ballard, Seattle, King County, Washington, 98107, United States
#627
SEATTLE, WA 981075625
Phone: (206) 898-8742
Fax: (253) 474-6880
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Abbott Laboratories ($186).
Total Amount
$186
General + Research + Ownership
Payments
1
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $186 |
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: 2024-10-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 13 Medicare enrollment records; no due dates published yet.
Enrollment records
13
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 |
|---|---|---|---|---|
| I20040511001757 | I | General Practice | WA | TBD |
| I20240418004090 | I | Internal Medicine | NC | TBD |
| I20240522000818 | I | Internal Medicine | TN | TBD |
| I20240522004274 | I | Internal Medicine | TX | TBD |
| I20240522004293 | I | Internal Medicine | CO | TBD |
| I20240530002025 | I | Internal Medicine | AZ | TBD |
| I20240530002064 | I | Internal Medicine | FL | TBD |
| I20240605002386 | I | Internal Medicine | OH | TBD |
| I20240614000913 | I | Internal Medicine | SC | TBD |
| I20240715000998 | I | Internal Medicine | KY | TBD |
| I20241001004142 | I | Family Practice | AR | TBD |
| I20241017002343 | I | Family Practice | MO | TBD |
| I20241019000022 | I | Family Practice | IN | 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 55121)
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Reviews
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