MARK WONG MD
NPI 1821054081
Internal Medicine in Phoenix, AZ

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1441 N 12TH ST, PHOENIX, AZ 85006(602) 521-5800(602) 521-5334 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark Wong Md NPPES

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

MARK WONG MD (NPI 1821054081) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (32916) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2000).

NPPES Registry Identity

NPI1821054081
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK WONGCredential: MD
Location Address1441 N 12TH STPhoenix, AZ 85006-2837
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837 · (602) 521-5800 · Fax (602) 521-5334
Fax(602) 521-5334
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2000
Enumeration DateApril 25, 2006
Last NPPES UpdateDecember 2, 2016
NPI 1821054081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 32916
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1441 N 12TH ST, Phoenix, AZ 85006

Other Identifiers 11

Medicare UPINZ144538AZ
Medicare UPINI11175
Medicare PINZ123504
Medicare PINZ79779AZ
Medicare PINZ106231AZ
Medicare PINZ106234AZ
Medicare PINZ144537AZ
Medicaid870304AZ
Medicare PINZ82266AZ
Medicare PINZ143788AZ
Medicare PINZ143783AZ

Accepted Insurance

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

Mark 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 ID9436121316
PECOS Enrollment IDI20040811000294
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
176 services21 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.
163 services105 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.
79 services49 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.
28 services25 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.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost75.24

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers80 claims4,890 services$0.29 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers118 claims14,880 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers20 claims1,440 services$0.86 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers24 claims570 services$2.60 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
15 suppliers159 claims159 services$16.77 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
10 suppliers79 claims86 services$11.15 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.

Nurse Practitioner
1441 N 12TH ST
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST
PHOENIX, AZ 85006
Physician Assistant
1441 N 12TH ST
PHOENIX, AZ 85006
Physician Assistant
1441 N 12TH ST
PHOENIX, AZ 85006
Obstetrics & Gynecology
1441 N 12TH ST
PHOENIX, AZ 85006
Nurse Practitioner (Family)
1441 N 12TH ST
PHOENIX, AZ 85006
Surgery
1441 N 12TH ST
PHOENIX, AZ 85006
Internal Medicine (Hematology & Oncology)
1441 N 12TH ST
PHOENIX, AZ 85006

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 Mark Wong's NPI number?

The NPI number for Mark Wong is 1821054081. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Mark Wong located?

Mark Wong practices at 1441 N 12th St, Phoenix, AZ 85006. The listed phone number is (602) 521-5800.

What is Mark Wong's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Wong enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Wong accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Mark 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 Mark Wong was last updated on December 2, 2016. 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.