SOPHIA SIYUN WONG M.D.
NPI 1639468960
Ophthalmology in Bethesda, MD

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
5272 RIVER RD STE 100, BETHESDA, MD 20816(240) 563-9900 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2025, Sep 15, 2021, Mar 4, 2021 and 4 more (7 updates tracked since 2015).

About Sophia Siyun Wong M.d. NPPES

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

SOPHIA SIYUN WONG M.D. (NPI 1639468960) is an individual ophthalmology provider in Bethesda, Maryland, licensed in Maryland (D0082359) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2011).

NPPES Registry Identity

NPI1639468960
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSOPHIA SIYUN WONGCredential: M.D.
Location Address5272 RIVER RD STE 100Bethesda, MD 20816-1454
Mailing AddressPo Box 135Glen Echo, MD 20812-0135
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2011
Enumeration DateApril 7, 2011
Last NPPES UpdateJune 19, 20257 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1639468960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MD · D0082359✔ Licensed in VA · 0101270652✔ Licensed in DC · MD046124
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.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 0101270652 (VA), D0082359 (MD), MD046124 (DC)
5272 RIVER RD STE 100, Bethesda, MD 20816

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sophia Siyun 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 ID3375856594
PECOS Enrollment IDI20170706000315
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 Reassignments

3

Medicare enrollment records show Sophia Wong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
5272 RIVER RD STE 100
Bethesda, MD 20816
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Beacon Retina PC
Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
Ophthalmology
6400 ARLINGTON BLVD., SUITE 600
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 7 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 13

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
4,862 services28 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
946 services522 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.
634 services438 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
520 services373 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
322 services105 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
214 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20816 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Medical Specialty)
5272 RIVER RD STE 100
BETHESDA, MD 20816
Behavior Analyst
5272 RIVER RD STE 100
BETHESDA, MD 20816
Speech-Language Pathologist
5272 RIVER RD STE 100
BETHESDA, MD 20816
Psychologist (Clinical Child & Adolescent)
5272 RIVER RD STE 100
BETHESDA, MD 20816
Speech-Language Pathologist
5272 RIVER RD STE 100
BETHESDA, MD 20816
Speech-Language Pathologist
5272 RIVER RD STE 100
BETHESDA, MD 20816
Behavior Analyst
5272 RIVER RD STE 100
BETHESDA, MD 20816

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 Sophia Wong's NPI number?

The NPI number for Sophia Wong is 1639468960. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Sophia Wong located?

Sophia Wong practices at 5272 River Rd Ste 100, Bethesda, MD 20816. The listed phone number is (240) 563-9900.

What is Sophia Wong's specialty?

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

Is Sophia Wong enrolled in Medicare?

Yes. Sophia 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.

Which organizations bill Medicare for Sophia Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Wong reassigns Medicare benefits to 3 organizations: Beacon Retina, P.C. (Bethesda, MD), Medical Faculty Associates, Inc (Washington, DC) and Virginia Retina Specialists (Falls Church, VA). Each 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 Sophia Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Wong accept?

Health plans from Oscar Health list Sophia 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 Sophia Wong was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.