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

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: August 16, 2026.

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
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

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.

Urology
3941 J ST, SUITE 250
SACRAMENTO, CA 95819
Internal Medicine (Cardiovascular Disease)
3941 J ST, SUITE 260
SACRAMENTO, CA 95819
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3941 J ST, SUITE 270
SACRAMENTO, CA 95819
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3941 J ST, SUITE 270
SACRAMENTO, CA 95819
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3941 J ST, SUITE 270
SACRAMENTO, CA 95819
Preferred Provider Organization
3941 J ST, SUITE 250
SACRAMENTO, CA 95819
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3941 J ST, SUITE 270
SACRAMENTO, CA 95819
Nurse Anesthetist, Certified Registered
3941 J ST
SACRAMENTO, CA 95819

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 Gordon Wong's NPI number?

The NPI number for Gordon Wong is 1811072861. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Gordon Wong located?

Gordon Wong practices at 3941 J St Suite 354, Sacramento, CA 95819. The listed phone number is (916) 733-6870.

What is Gordon Wong's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gordon Wong enrolled in Medicare?

Yes. Gordon Wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gordon Wong was last updated on January 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.