THERESA MARIE WONG MD
NPI 1073019014
Obstetrics & Gynecology in Dalton, GA

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment
89.07/100
CMS Quality Rating
1105 BURLEYSON RD, DALTON, GA 30720(706) 278-4640(706) 275-6599 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 1, 2022, Mar 30, 2018 (2 updates tracked since 2018).

About Theresa Marie Wong Md NPPES

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

THERESA MARIE WONG MD (NPI 1073019014) is an individual obstetrics & gynecology provider in Dalton, Georgia, licensed in Georgia (92790) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Wake Forest University School Of Medicine (2018).

NPPES Registry Identity

NPI1073019014
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTHERESA MARIE WONGCredential: MD
Location Address1105 BURLEYSON RDDalton, GA 30720-3181
Mailing Address1105 Burleyson RdDalton, GA 30720-3181 · (706) 278-4640 · Fax (706) 275-6599
Fax(706) 275-6599
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2018
Enumeration DateMarch 30, 2018
Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
NPI 1073019014 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 GA · 92790
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.
1105 BURLEYSON RD, Dalton, GA 30720

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theresa Marie Wong Md 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 ID6507113982
PECOS Enrollment IDI20220818002676
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services24 patients

Hospital Affiliations CMS Care Compare

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.29
Improvement Activities40
Cost80.5

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.

Obstetrics & Gynecology
1105 BURLEYSON RD
DALTON, GA 30720
Obstetrics & Gynecology
1105 BURLEYSON RD
DALTON, GA 30720
Obstetrics & Gynecology
1105 BURLEYSON RD
DALTON, GA 30720
Nurse Practitioner (Family)
1105 BURLEYSON RD
DALTON, GA 30720
Advanced Practice Midwife
1105 BURLEYSON RD
DALTON, GA 30720
Advanced Practice Midwife
1105 BURLEYSON RD
DALTON, GA 30720
Nurse Practitioner (Women's Health)
1105 BURLEYSON RD
DALTON, GA 30720
Midwife
1105 BURLEYSON RD
DALTON, GA 30720

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 Theresa Wong's NPI number?

The NPI number for Theresa Wong is 1073019014. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Theresa Wong located?

Theresa Wong practices at 1105 Burleyson Rd, Dalton, GA 30720. The listed phone number is (706) 278-4640.

What is Theresa Wong's specialty?

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

Is Theresa Wong enrolled in Medicare?

Yes. Theresa 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.

What insurance does Theresa Wong accept?

Health plans from Alliant Health Plans, Inc. list Theresa 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 Theresa Wong affiliated with any hospitals?

According to CMS data, Theresa Wong is affiliated with Hamilton Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Wong was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.