TINA W WONG-GILLAM M.D.-PH.D.
NPI 1578940334
Surgery - Surgical Oncology in Grand Rapids, MI

Q: What is Tina Wong-gillam's NPI number?

The NPI number for Tina Wong-gillam is 1578940334. It was assigned to this individual provider in the NPPES registry on April 30, 2015. The provider is also known as Tina Wao Ting Wong MD.

Q: What is Tina Wong-gillam's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Tina Wong-gillam was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since April 30, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

145 MICHIGAN ST NE STE 5500, GRAND RAPIDS, MI 49503(616) 267-8540 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2025, Sep 5, 2023, Jun 5, 2023 and 2 more (5 updates tracked since 2021).

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About Tina W Wong-gillam M.d.-ph.d. NPPES

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

TINA W WONG-GILLAM M.D.-PH.D. (NPI 1578940334) is an individual surgical oncology provider in Grand Rapids, Michigan, licensed in Michigan (4301508285) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Mayo Medical School (2015).

NPPES Registry Identity

NPI1578940334

Entity TypeIndividualFemale

Primary Taxonomy2086X0206X

Provider Legal NameTINA W WONG-GILLAMCredential: M.D.-PH.D.

Location Address145 MICHIGAN ST NE STE 5500Grand Rapids, MI 49503-2565

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-8540

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 2015

Enumeration DateApril 30, 2015

Last NPPES UpdateMay 9, 20255 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1578940334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in MI · 4301508285

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License 4301508285 (MI)

145 MICHIGAN ST NE STE 5500, Grand Rapids, MI 49503

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Other Names 1

Former Name (1)Tina Wao Ting Wong Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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

Tina W Wong-gillam M.d.-ph.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 ID9133523020

PECOS Enrollment IDI20230710003664

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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

25 services25 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

ALEXANDRA BENGEL PA-C

Physician Assistant (Surgical)