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DR. KELLY TIM TIM WONG D.O.
NPI 1215106448
Family Medicine in Monterey Park, CA

Active since February 21, 2008PECOS EnrolledAccepts Medicare Assignment
500 N GARFIELD AVE STE 105, MONTEREY PARK, CA 91754(626) 288-3828(626) 573-8513 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Kelly Tim Tim Wong D.o. NPPES

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

DR. KELLY TIM TIM WONG D.O. (NPI 1215106448) is an individual family medicine provider in Monterey Park, California, licensed in California (20A10595) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2007).

NPPES Registry Identity

NPI1215106448
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELLY TIM TIM WONGCredential: D.O.
Location Address500 N GARFIELD AVE STE 105Monterey Park, CA 91754-1242
Mailing Address500 N Garfield Ave Ste 105Monterey Park, CA 91754-1242 · (626) 288-3828 · Fax (626) 573-8513
Phone(626) 288-3828
Fax(626) 573-8513
Sole ProprietorYes
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2007
Enumeration DateFebruary 21, 2008
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1215106448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A10595
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
500 N GARFIELD AVE STE 105, Monterey Park, CA 91754
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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

Dr. Kelly Tim Tim Wong D.o. 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 ID244364610
PECOS Enrollment IDI20100820000455
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 2

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.
121 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91754 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims29 services$5.63 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.46 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,784 services$0.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

KELLY WONG DO INC
Clinic/Center (Primary Care)
500 N GARFIELD AVE STE 105
MONTEREY PARK, CA 91754
Los Angeles County (626) 288-3828

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 Kelly Wong's NPI number?

The NPI number for Kelly Wong is 1215106448. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Kelly Wong located?

Kelly Wong practices at 500 N Garfield Ave Ste 105, Monterey Park, CA 91754. The listed phone number is (626) 288-3828.

What is Kelly Wong's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Wong enrolled in Medicare?

Yes. Kelly 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.

When was this NPI record last updated?

The NPPES record for Kelly Wong was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.