Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. RYAN ANTHONY WONG MD
NPI 1023699931
Urology in Lake St Louis, MO

Q: What is Ryan Wong's NPI number?

The NPI number for Ryan Wong is 1023699931. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Q: What is Ryan Wong's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Wong was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 21, 2021PECOS Enrolled

300 MEDICAL PLZ STE 310, LAKE ST LOUIS, MO 63367(636) 625-2662(636) 625-1121 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 26, 2026, Apr 21, 2021 (2 updates tracked since 2021).

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About Mr. Ryan Anthony Wong Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RYAN ANTHONY WONG MD (NPI 1023699931) is an individual urology provider in Lake St Louis, Missouri, licensed in Missouri (2026036272) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023699931

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameMR. RYAN ANTHONY WONGCredential: MD

Location Address300 MEDICAL PLZ STE 310Lake St Louis, MO 63367-1484

Mailing Address1465 S Grand Blvd Rm 2717Saint Louis, MO 63104-1003 · (314) 268-4070 · Fax (314) 268-4019

Phone(636) 625-2662

Fax(636) 625-1121

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 21, 2021

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1023699931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MO · 2026036272

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

300 MEDICAL PLZ STE 310, Lake St Louis, MO 63367

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Secondary Practice Location 1

Location 11465 S Grand Blvd Rm 2717Saint Louis, MO 63104-1003 · Phone (314) 268-4070 · Fax (314) 268-4019

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ryan Anthony Wong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103229232

PECOS Enrollment IDI20260721001137

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACLYN MORRIS CPNP-PC

Nurse Practitioner (Pediatrics)

300 MEDICAL PLZ STE 310
LAKE SAINT LOUIS, MO 63367

St. Charles County (636) 625-2662

DR. THOMAS HAROLD LANDON MD

Urology