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DR. JACQUELINE MAHN KWAN WONG M.D.
NPI 1043609712
Obstetrics & Gynecology in Portland, OR

Active since January 17, 2015PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 418-4500(503) 494-1678 Get Directions Write a Review

NPPES record last updated: May 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2021, Apr 2, 2021, Feb 13, 2021 (3 updates tracked since 2021).

About Dr. Jacqueline Mahn Kwan Wong M.d. NPPES

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

DR. JACQUELINE MAHN KWAN WONG M.D. (NPI 1043609712) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Illinois (125066452) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Northwestern University Feinberg Medical School (2015).

NPPES Registry Identity

NPI1043609712
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JACQUELINE MAHN KWAN WONGCredential: M.D.
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 418-4500 · Fax (503) 494-1678
Phone(503) 418-4500
Fax(503) 494-1678
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2015
Enumeration DateJanuary 17, 2015
Last NPPES UpdateMay 29, 20213 updates tracked since enumeration
NPPES CertifiedMay 29, 2021
✔ NPI 1043609712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 125066452
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License MD204040 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacqueline Mahn Kwan Wong M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365748993
PECOS Enrollment IDI20210727002198
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jacqueline Wong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Professional Services
Same address
Multi-Specialty
707 SW GAINES ST
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1073767588 (503) 494-9000
Tuality Medical Group LLC
14 mi
Neurology
364 SE 8TH AVE STE 101
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 691 clinicians in this Medicare group
NPI 1639690704 (503) 681-1000
Todu Guam Foundation Ltd
Family Medicine
125 TUN JESUS CRISOSTOMO ST STE 104
Tamuning, GU 96913
  • Reassigned Medicare billing, Guam enrollment
  • 9 clinicians in this Medicare group
NPI 1063150530 (671) 649-8638

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Hillsboro Medical Center

Acute Care Hospitals · Hillsboro, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380021
Location335 SE 8th AvenueHillsboro, OR 97123 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 20

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

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Wong's NPI number?

The NPI number for Jacqueline Wong is 1043609712. It was assigned to this individual provider in the NPPES registry on January 17, 2015.

Where is Jacqueline Wong located?

Jacqueline Wong practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-4500.

What is Jacqueline Wong's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacqueline Wong enrolled in Medicare?

Yes. Jacqueline Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacqueline Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Wong reassigns Medicare benefits to 3 organizations: University Professional Services (Portland, OR), Tuality Medical Group LLC (Hillsboro, OR) and Todu Guam Foundation Ltd (Tamuning, GU). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Wong accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Jacqueline Wong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacqueline Wong affiliated with any hospitals?

According to CMS data, Jacqueline Wong is affiliated with Ohsu Hospital And Clinics and Hillsboro Medical Center.

When was this NPI record last updated?

The NPPES record for Jacqueline Wong was last updated on May 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.