GREGORY KELII WONG M.D.
NPI 1386977288
Pediatrics - Pediatric Gastroenterology in Orange, CA

NPI Status: Active since September 09, 2009

Contact Information

1201 W LA VETA AVE
ORANGE, CA
ZIP 92868
Phone: (714) 509-4099
Fax: (714) 509-3301

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  • Individual
  • Male
  • Years of Experience 19
  • Pediatrics
  • Pediatric Gastroenterology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About GREGORY WONG

This page provides the complete NPI Profile along with additional information for Gregory Wong, a pediatrician established in Orange, California with a medical specialization in Pediatrics, focusing in pediatric gastroenterology and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1386977288 assigned on September 2009. The practitioner's primary taxonomy code is 2080P0206X with license number A124939 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1386977288
Provider Name
GREGORY KELII WONG M.D.
Gender
Male
Entity Type
Individual
Location Address
1201 W LA VETA AVE ORANGE, CA 92868
Location Phone
(714) 509-4099
Location Fax
(714) 509-3301
Mailing Address
1201 W LA VETA AVE ORANGE, CA 92868
Mailing Phone
(714) 509-4099
Mailing Fax
(714) 509-3301
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
Yes
Enumeration Date
09-09-2009
Last Update Date
02-24-2021
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A pediatrician like Gregory Wong is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 3030 Childrens Way
    San Diego, CA 92123
    (858) 966-4003

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Gastroenterology

Taxonomy Code
2080P0206X
Type
Allopathic & Osteopathic Physicians
License No.
A124939
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080P0206XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Gastroenterology

N7765 (TX)

Medicare Participation & PECOS Enrollment Status

Gregory Wong is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Gregory Wong is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7911286406

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20161128002738

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $35.59 for a new patient copayment and $27.49 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92868 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $142.39
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $35.59
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $109.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $27.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1386977288, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 6 + 6 + 1 + 8 + 7 + 1 + 4 + 2 + 1 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1386977288.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
1201 W LA VETA AVE, STE. 102
ORANGE, CA 92868
Optometrist
1201 W LA VETA AVE, STE 406
ORANGE, CA 92868
Internal Medicine (Gastroenterology)
1201 W LA VETA AVE, SUITE 211
ORANGE, CA 92868
Allergy & Immunology
1201 W LA VETA AVE, STE 501
ORANGE, CA 92868
Nurse Practitioner
1201 W LA VETA AVE, STE 501
ORANGE, CA 92868
Pathology (Anatomic Pathology & Clinical Pathology)
1201 W LA VETA AVE, SUITE 608
ORANGE, CA 92868
Otolaryngology
1201 W LA VETA AVE, SUITE 604
ORANGE, CA 92868
Ophthalmology
1201 W LA VETA AVE, 300
ORANGE, CA 92868
Dentist (General Practice)
1201 W LA VETA AVE, 301
ORANGE, CA 92868
Surgery (Pediatric Surgery)
1201 W LA VETA AVE
ORANGE, CA 92868
Clinical Neuropsychologist
1201 W LA VETA AVE, SUITE 503
ORANGE, CA 92868
Physical Therapy Assistant
1201 W LA VETA AVE
ORANGE, CA 92868
Allergy & Immunology (Allergy)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Endocrinology)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Hematology-Oncology)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Critical Care Medicine)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Rheumatology)
1201 W LA VETA AVE
ORANGE, CA 92868
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Infectious Diseases)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Pulmonology)
1201 W LA VETA AVE
ORANGE, CA 92868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386977288, enumerated as an "individual" on September 09, 2009.

The provider is located at 1201 W LA VETA AVE ORANGE, CA 92868 and the phone number is (714) 509-4099.

Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.