DR. GORDON ALVIN WONG M.D.
NPI 1811072861
Specialist in Sacramento, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since October 26, 2006PECOS Enrolled

3941 J ST, SUITE 354, SACRAMENTO, CA 95819(916) 733-6870(916) 454-0490 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Gordon Alvin Wong M.d. NPPES

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

DR. GORDON ALVIN WONG M.D. (NPI 1811072861) is an individual specialist in Sacramento, California, licensed in California (A22027) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811072861

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. GORDON ALVIN WONGCredential: M.D.

Location Address3941 J ST, SUITE 354Sacramento, CA 95819-3624

Mailing Address3941 J St, Suite 354Sacramento, CA 95819-3624 · (916) 733-6870 · Fax (916) 454-0490

Phone(916) 733-6870

Fax(916) 454-0490

Sole ProprietorNo

Enumeration DateOctober 26, 2006

Last NPPES UpdateJanuary 26, 2017

✔ NPI 1811072861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A22027

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3941 J ST, Sacramento, CA 95819

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Other Identifiers 1

Medicare UPINA22879CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gordon Alvin Wong M.d. 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 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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

59%32 patients3/55-star benchmark: 100%

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

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%39 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

69%36 patients3/55-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 2

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

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

1 supplier12 claims12 services$8.38 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier11 claims66 services$1.44 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 20

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

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