ELSOM WONG PA-C
NPI 1679353064
Physician Assistant in Oklahoma City, OK

Q: What is Elsom Wong's NPI number?

The NPI number for Elsom Wong is 1679353064. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Q: What is Elsom Wong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elsom Wong was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 03, 2023PECOS EnrolledAccepts Medicare Assignment

1025 STRAKA TER, OKLAHOMA CITY, OK 73139(405) 632-6688 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, Mar 11, 2026, Oct 3, 2023 (3 updates tracked since 2023).

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About Elsom Wong Pa-c NPPES

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

ELSOM WONG PA-C (NPI 1679353064) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (5052) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Midwest City, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679353064

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameELSOM WONGCredential: PA-C

Location Address1025 STRAKA TEROklahoma City, OK 73139-2544

Mailing Address3000 N Grand BlvdOklahoma City, OK 73107-1818 · (405) 632-6688

Phone(405) 632-6688

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 3, 2023

Last NPPES UpdateMay 14, 20263 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1679353064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 5052

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1025 STRAKA TER, Oklahoma City, OK 73139

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Secondary Practice Location 1

Location 18900 SE 15th StMidwest City, OK 73110-8002 · Phone (405) 737-3278

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

Elsom Wong Pa-c 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 ID1254815673

PECOS Enrollment IDI20260324000841

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73139 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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 20

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

MRS. JUDY KAY KELLOGG ARNP

Nurse Practitioner (Women's Health)