JONATHAN YIN-JEONG WONG DO
NPI 1174935019
Pediatrics - Pediatric Gastroenterology in Madison, WI

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
5249 E TERRACE DR, MADISON, WI 53718(608) 263-6420(608) 890-7107 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 2, 2022, Jul 14, 2021 (2 updates tracked since 2021).

About Jonathan Yin-jeong Wong Do NPPES

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

JONATHAN YIN-JEONG WONG DO (NPI 1174935019) is an individual pediatric gastroenterology provider in Madison, Wisconsin, licensed in Wisconsin (69057) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2014).

NPPES Registry Identity

NPI1174935019
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameJONATHAN YIN-JEONG WONGCredential: DO
Location Address5249 E TERRACE DRMadison, WI 53718-8339
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 890-7107
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2014
Enumeration DateMay 27, 2014
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1174935019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in WI · 69057✔ Licensed in AZ · 009032
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
5249 E TERRACE DR, Madison, WI 53718

Accepted 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

Jonathan Yin-jeong Wong Do 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 ID4587880265
PECOS Enrollment IDI20220517003156
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 Jonathan Wong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
General Acute Care Hospital
3100 SUPERIOR AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Social Worker (Clinical)
5249 E TERRACE DR
MADISON, WI 53718
Psychologist
5249 E TERRACE DR
MADISON, WI 53718
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Pharmacy
5249 E TERRACE DR, SUITE 9951
MADISON, WI 53718
Psychiatry & Neurology (Psychiatry)
5249 E TERRACE DR
MADISON, WI 53718
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Anesthesiology (Pain Medicine)
5249 E TERRACE DR
MADISON, WI 53718

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 Jonathan Wong's NPI number?

The NPI number for Jonathan Wong is 1174935019. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Jonathan Wong located?

Jonathan Wong practices at 5249 E Terrace Dr, Madison, WI 53718. The listed phone number is (608) 263-6420.

What is Jonathan Wong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Jonathan Wong enrolled in Medicare?

Yes. Jonathan 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 Jonathan Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Wong reassigns Medicare benefits to 3 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI), St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI) and St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI). 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 Jonathan Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Wong accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners and 2 other insurers list Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Wong was last updated on May 2, 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.