DR. CARMEN P WONG MD
NPI 1356347512
Family Medicine in Houston, TX

Active since June 22, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1020635 · Microscopy
1140 WESTMONT DR, STE 520, HOUSTON, TX 77015(281) 457-1212(281) 457-1223 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Carmen P Wong Md NPPES

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

DR. CARMEN P WONG MD (NPI 1356347512) is an individual family medicine provider in Houston, Texas, licensed in Texas (J3003) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through February 2, 2028, and is affiliated with Hca Houston Healthcare Southeast.

NPPES Registry Identity

NPI1356347512
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARMEN P WONGCredential: MD
Location Address1140 WESTMONT DR, STE 520Houston, TX 77015-4363
Mailing Address1140 Westmont Dr, Ste 520Houston, TX 77015-4363 · (281) 457-1212 · Fax (281) 457-1223
Fax(281) 457-1223
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1991
Enumeration DateJune 22, 2005
Last NPPES UpdateNovember 5, 2015
NPI 1356347512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J3003
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.

1140 WESTMONT DR, Houston, TX 77015

Other Identifiers 7

Other2487111TX · Cigna Provider Number
Other1477848877TX · Group Npi For Tax Id
Medicare PIN00499FTX
Other2667722TX · Aetna Provider Id
Other755597TX · Humana Provider Number
Medicare UPINF92201TX
Other0099HPTX · Bcbs Of Texas

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

Dr. Carmen P 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 ID6406838606
PECOS Enrollment IDI20040602000821
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1020635

Carmen P Wong, MD · Houston, TX
Active · expires Feb 2, 2028
CLIA Number45D1020635
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorCarmen P. Wong MD
Laboratory Phone(281) 457-1212
Laboratory LocationCarmen P Wong, MD1140 Westmont, Ste 520, Houston, TX 77015
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 5

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.
151 services65 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.
98 services62 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
64 services64 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.
49 services49 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Southeast

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450097
Location4000 Spencer HwyPasadena, TX 77504 · Harris County
Emergency services Birthing friendly

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77015 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 2

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
5 suppliers13 claims42 services$5.51 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers20 claims20 services$202.00 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 20

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

Internal Medicine (Nephrology)
1140 WESTMONT DR, STE. 320
HOUSTON, TX 77015
Internal Medicine (Nephrology)
1140 WESTMONT DR, SUITE 320
HOUSTON, TX 77015
Internal Medicine (Medical Oncology)
1140 WESTMONT DR, SUITE 200
HOUSTON, TX 77015
Physical Therapist
1140 WESTMONT DR, SUITE 530
HOUSTON, TX 77015
General Acute Care Hospital
1140 WESTMONT DR, SUITE 505
HOUSTON, TX 77015
Internal Medicine (Geriatric Medicine)
1140 WESTMONT DR, 300
HOUSTON, TX 77015
Surgery
1140 WESTMONT DR, STE. 520
HOUSTON, TX 77015
Chiropractor
1140 WESTMONT DR, STE 547
HOUSTON, TX 77015

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 Carmen Wong's NPI number?

The NPI number for Carmen Wong is 1356347512. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Carmen Wong located?

Carmen Wong practices at 1140 Westmont Dr Ste 520, Houston, TX 77015. The listed phone number is (281) 457-1212.

What is Carmen Wong's specialty?

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

Is Carmen Wong enrolled in Medicare?

Yes. Carmen 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.

Does Carmen Wong hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1020635) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carmen Wong accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Carmen 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 Carmen Wong affiliated with any hospitals?

According to CMS data, Carmen Wong is affiliated with Hca Houston Healthcare Southeast and Houston Methodist Baytown Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Wong was last updated on November 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.