CARSON WONG MD
NPI 1669440814
Urology in Marietta, OH

Q: What is Carson Wong's NPI number?

The NPI number for Carson Wong is 1669440814. It was assigned to this individual provider in the NPPES registry on March 12, 2006.

Q: What is Carson Wong's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Carson Wong was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 12, 2006PECOS EnrolledAccepts Medicare Assignment

77.71/100

CMS Quality Rating

400 MATTHEW ST STE 303, MARIETTA, OH 45750(740) 373-7828(740) 373-5898 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2021, Aug 18, 2020, Apr 16, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Carson Wong Md NPPES

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

CARSON WONG MD (NPI 1669440814) is an individual urology provider in Marietta, Ohio, licensed in Ohio (35052657) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669440814

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameCARSON WONGCredential: MD

Location Address400 MATTHEW ST STE 303Marietta, OH 45750-1656

Mailing Address6900 Pearl Rd, Second FloorMiddleburg Heights, OH 44130-3639 · (440) 845-0900 · Fax (440) 842-9911

Phone(740) 373-7828

Fax(740) 373-5898

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateMarch 12, 2006

Last NPPES UpdateJuly 15, 20214 updates tracked since enumeration

NPPES CertifiedJuly 15, 2021

✔ NPI 1669440814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in OH · 35052657✔ Licensed in OK · 23694

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

400 MATTHEW ST STE 303, Marietta, OH 45750

Open in Google Maps ↗

Secondary Practice Locations 2

Location 16900 Pearl Rd, Second FloorMiddleburg Heights, OH 44130-3639 · Phone (440) 845-0900 · Fax (440) 842-9911

Location 2807 Farson St Ste 230Belpre, OH 45714-1068 · Phone (740) 423-3223 · Fax (740) 401-0437

Other Identifiers 1

Medicaid3154616OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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 and accepts Medicare assignment

Carson Wong Md 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 ID8325035363

PECOS Enrollment IDI20110623000186

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

Medicare enrollment records show Carson Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marietta Memorial Hospital

Same address

General Acute Care Hospital

401 MATTHEW ST
Marietta, OH 45750

Reassigned Medicare billing, Ohio enrollment
411 clinicians in this Medicare group

NPI 1215936927 (740) 374-1413

Selby General Hospital

1.3 mi

Critical Access

1106 COLEGATE DR
Marietta, OH 45750

Reassigned Medicare billing, Ohio enrollment
247 clinicians in this Medicare group

NPI 1124073465 (740) 568-2040

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 21

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 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.

530 services316 patients

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.

214 services151 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

120 services86 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

116 services74 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.

82 services82 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

69 services67 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

59 services51 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

50 services43 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

49 services35 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

42 services34 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

30 services29 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

30 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

30 services21 patients

Dilation of bladder and urethra using an endoscope 52341

This procedure involves gently expanding the bladder and urethra using a special instrument called an endoscope. It helps to improve the flow of fluid through these areas. The process is done under anesthesia, ensuring minimal discomfort.

29 services28 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

27 services23 patients

Complete laser vaporization of prostate including control of bleeding using an endoscope 52648

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

27 services25 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

25 services22 patients

Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope 52351

This is a procedure where a small tube with a camera, called an endoscope, is used to examine the bladder and the tubes that carry urine from the kidneys to the bladder. It helps in detecting any abnormalities or issues.

20 services15 patients

Insertion of tube into ureter using an endoscope through bladder area 52005

This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.

15 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Injection procedure for imaging of bladder during voiding 51600

This procedure involves injecting a safe, contrasting material into your bladder through a small tube. This helps capture clear images during voiding. The process helps doctors understand your bladder's function better and identify any potential issues.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360147

Location401 Matthew StreetMarietta, OH 45750 · Washington County

Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361319

Location1106 Colegate DriveMarietta, OH 45750 · Washington County

Emergency services

Sistersville General Hospital

Critical Access Hospitals · Sistersville, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511304

Location314 South Wells StreetSistersville, WV 26175 · Tyler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $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.

77.71/100

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

Individually scored

Quality

88.2

Improvement Activities

Cost

47.35

Reported Quality Measures

Breast Cancer Screening

63%133 patients3/55-star benchmark: 93%

Cervical Cancer Screening

26%144 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

57%788 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

71%394 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

25%216 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%2,428 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

53%707 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

90%1,227 patients4/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 700 patients

Patients screened: 100% · 700 patients

100%113 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers19 claims3,060 services$1.49 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

TARA B PICKENS FNP-C

Nurse Practitioner (Family)

400 MATTHEW ST STE 303
MARIETTA, OH 45750

Washington County (740) 373-7828

CASEY J SHEA FNP-C

Nurse Practitioner (Family)

400 MATTHEW ST STE 303
MARIETTA, OH 45750

Washington County (740) 373-7828

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 Carson Wong's NPI number?

The NPI number for Carson Wong is 1669440814. It was assigned to this individual provider in the NPPES registry on March 12, 2006.

Where is Carson Wong located?

Carson Wong practices at 400 Matthew St Ste 303, Marietta, OH 45750. The listed phone number is (740) 373-7828.

What is Carson Wong's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Carson Wong enrolled in Medicare?

Yes. Carson 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 Carson Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carson Wong reassigns Medicare benefits to 2 organizations: Marietta Memorial Hospital (Marietta, OH) and Selby General Hospital (Marietta, OH). 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 Carson Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carson Wong accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Carson 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.

Is Carson Wong affiliated with any hospitals?

According to CMS data, Carson Wong is affiliated with Holzer Medical Center, Marietta Memorial Hospital, Selby General Hospital and Sistersville General Hospital.

When was this NPI record last updated?

The NPPES record for Carson Wong was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.