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SCOTT WONG MD
NPI 1275604498
Surgery in Maryville, IL

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
6810 STATE ROUTE 162 STE 100, MARYVILLE, IL 62062(618) 288-3616(618) 288-3647 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2023, Feb 2, 2021 (2 updates tracked since 2021).

About Scott Wong Md NPPES

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

SCOTT WONG MD (NPI 1275604498) is an individual surgery provider in Maryville, Illinois, licensed in Illinois (036103837) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of University Of Alabama School Of Medicine (1996).

NPPES Registry Identity

NPI1275604498
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSCOTT WONGCredential: MD
Location Address6810 STATE ROUTE 162 STE 100Maryville, IL 62062-8560
Mailing Address6810 State Route 162 Ste 100Maryville, IL 62062-8560 · (618) 288-3616 · Fax (618) 288-3647
Phone(618) 288-3616
Fax(618) 288-3647
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1996
Enumeration DateNovember 10, 2006
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1275604498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 036103837✔ Licensed in MO · 2017031136
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 036103837 (IL)
6810 STATE ROUTE 162 STE 100, Maryville, IL 62062
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Other Identifiers 1

Medicaid036103837002IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.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

Scott 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 ID5991767055
PECOS Enrollment IDI20041101000430
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 Scott Wong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anderson Medical Group, LLC
Same address
General Practice
6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 145 clinicians in this Medicare group
NPI 1700807716 (618) 288-5711
Ahs Il Medical Group LLC
11 mi
Clinic/Center
2100 MADISON AVE
Granite City, IL 62040
  • Reassigned Medicare billing, Illinois enrollment
  • 107 clinicians in this Medicare group
NPI 1659098101 (818) 666-0602
Ssm Health Care Group
18 mi
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
NPI 1306589544 (314) 977-6100

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

Areas of Expertise CMS Part B claims 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services46 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services20 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.
30 services21 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.
26 services26 patients
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.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 5

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

DR. RICHARD HENRY WIKIERA D.O.
Surgery
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062
Madison County (618) 288-3616
CHARLES A. LANE MD
Surgery
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062
Madison County (618) 288-5711
KELSY BRIKAY WASMUTH FNP
Nurse Practitioner (Family)
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062
Madison County (618) 288-3616
DR. PEI CHANG CHUNG M.D.
Surgery
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062
Madison County (618) 288-3616
DR. DANIEL STEVEN JOHNSON M.D.
Surgery
6810 STATE ROUTE 162 STE 100
MARYVILLE, IL 62062
Madison County (618) 288-3616

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 Scott Wong's NPI number?

The NPI number for Scott Wong is 1275604498. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Scott Wong located?

Scott Wong practices at 6810 State Route 162 Ste 100, Maryville, IL 62062. The listed phone number is (618) 288-3616.

What is Scott Wong's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Scott Wong enrolled in Medicare?

Yes. Scott 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 Scott Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Wong reassigns Medicare benefits to 3 organizations: Anderson Medical Group, LLC (Maryville, IL), Ahs Il Medical Group LLC (Granite City, IL) and Ssm Health Care Group (Saint Louis, MO). 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 Scott Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Wong accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Scott 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 Scott Wong affiliated with any hospitals?

According to CMS data, Scott Wong is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Scott Wong was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.