JOHNSON WONG
NPI 1134517980
Physician Assistant in Phoenix, AZ

Active since January 02, 2015PECOS EnrolledAccepts Medicare Assignment
21001 N TATUM BLVD, PHOENIX, AZ 85050(480) 306-7832 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2021, Jul 13, 2016, Jun 13, 2016 (3 updates tracked since 2016).

About Johnson Wong NPPES

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

JOHNSON WONG (NPI 1134517980) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (6358) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1134517980
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHNSON WONG
Location Address21001 N TATUM BLVDPhoenix, AZ 85050-4206
Mailing Address21001 N Tatum BlvdPhoenix, AZ 85050-4206 · (480) 306-7832
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 2, 2015
Last NPPES UpdateMay 12, 20213 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
NPI 1134517980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 6358
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

21001 N TATUM BLVD, Phoenix, AZ 85050

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

Johnson Wong 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 ID8628369055
PECOS Enrollment IDI20160615001294
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
455 services116 patients
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.
150 services74 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
90 services45 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
89 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85050 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Optometrist
21001 N TATUM BLVD
PHOENIX, AZ 85050
Optometrist
21001 N TATUM BLVD
PHOENIX, AZ 85050
Durable Medical Equipment & Medical Supplies
21001 N TATUM BLVD, 1630-609
PHOENIX, AZ 85050
Optometrist
21001 N TATUM BLVD, SUITE 18-1030
PHOENIX, AZ 85050
Chiropractor
21001 N TATUM BLVD, SUITE 1630-888
PHOENIX, AZ 85050
Internal Medicine
21001 N TATUM BLVD, STE 1630-156
PHOENIX, AZ 85050
Dentist (General Practice)
21001 N TATUM BLVD, STE. 80-1690
PHOENIX, AZ 85050
Optometrist
21001 N TATUM BLVD, #741570
PHOENIX, AZ 85050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134517980, enumerated as an "individual" on January 02, 2015.

The provider is located at 21001 N TATUM BLVD PHOENIX, AZ 85050 and the phone number is (480) 306-7832.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.