RICHARD MICHAEL WONG M.D.
NPI 1427138619
Ophthalmology in Stockton, CA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
80.95/100
CMS Quality Rating
255 E WEBER AVE, STOCKTON, CA 95202(209) 466-5566(209) 466-0535 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Michael Wong M.d. NPPES

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

RICHARD MICHAEL WONG M.D. (NPI 1427138619) is an individual ophthalmology provider in Stockton, California, licensed in California (A62188) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1992).

NPPES Registry Identity

NPI1427138619
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRICHARD MICHAEL WONGCredential: M.D.
Location Address255 E WEBER AVEStockton, CA 95202-2706
Mailing Address255 E Weber AveStockton, CA 95202-2706 · (209) 466-5566 · Fax (209) 466-0535
Fax(209) 466-0535
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1992
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 19, 2012
NPI 1427138619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A62188
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
255 E WEBER AVE, Stockton, CA 95202

Other Identifiers 10

Medicare PINBU678YCA
Medicare PINBU678XCA
Medicare PINBU678ZCA
Medicare PIN00A621880CA
Medicare PINBU678UCA
Medicare PINBU678WCA
Medicare PIN00A621881CA
Medicare PINBU678VCA
Medicaid00A621880CA
Medicare UPINH28780CA

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

Richard Michael Wong M.d. 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 ID3274683958
PECOS Enrollment IDI20090618000531
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 14

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.
671 services444 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.
615 services581 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
352 services233 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
325 services320 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.
318 services318 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
306 services302 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95202 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

80.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost19.85

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
97%326 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
55%1,092 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
Optometrist
255 E WEBER AVE
STOCKTON, CA 95202
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202

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 Richard Wong's NPI number?

The NPI number for Richard Wong is 1427138619. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Richard Wong located?

Richard Wong practices at 255 E Weber Ave, Stockton, CA 95202. The listed phone number is (209) 466-5566.

What is Richard Wong's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Richard Wong enrolled in Medicare?

Yes. Richard 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.

What insurance does Richard Wong accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Richard 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 Richard Wong was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.