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KATHY KA YEE WONG DDS
NPI 1467076893
Dentist - General Practice in San Francisco, CA

Active since June 01, 2020PECOS Enrolled
2543 27TH AVE, SAN FRANCISCO, CA 94116(415) 994-9987 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2023, Jun 1, 2020 (2 updates tracked since 2020).

About Kathy Ka Yee Wong Dds NPPES

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

KATHY KA YEE WONG DDS (NPI 1467076893) is an individual general practice provider in San Francisco, California, licensed in California (107582) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467076893
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKATHY KA YEE WONGCredential: DDS
Location Address2543 27TH AVESan Francisco, CA 94116-2909
Mailing Address2543 27th AveSan Francisco, CA 94116-2909 · (415) 994-9987
Phone(415) 994-9987
Sole ProprietorYes
Enumeration DateJune 1, 2020
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1467076893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 107582
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2543 27TH AVE, San Francisco, CA 94116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Kathy Ka Yee Wong Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kathy Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Davis Street Community Center Incorporated
18 mi
Federally Qualified Health Center (FQHC)
3081 TEGARDEN
San Leandro, CA 94577
  • Reassigned Medicare billing, California enrollment
  • 42 clinicians in this Medicare group
NPI 1215358924 (510) 347-4620

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94116 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Kathy Wong's NPI number?

The NPI number for Kathy Wong is 1467076893. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Kathy Wong located?

Kathy Wong practices at 2543 27th Ave, San Francisco, CA 94116. The listed phone number is (415) 994-9987.

What is Kathy Wong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kathy Wong enrolled in Medicare?

Yes. Kathy Wong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathy Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Wong reassigns Medicare benefits to The Davis Street Community Center Incorporated (San Leandro, CA). The 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 Kathy Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Wong accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Kathy 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 Kathy Wong was last updated on January 5, 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.