TONG WANG MD
NPI 1912385303
Surgery in Raleigh, NC

Active since May 18, 2015PECOS EnrolledAccepts Medicare Assignment
87.67/100
CMS Quality Rating
4101 MACON POND RD, RALEIGH, NC 27607(919) 781-7070 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2023, May 4, 2023, Dec 8, 2022 and 1 more (4 updates tracked since 2019).

About Tong Wang Md NPPES

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

TONG WANG MD (NPI 1912385303) is an individual surgery provider in Raleigh, North Carolina, licensed in California (A175743) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Florida College Of Medicine (2015).

NPPES Registry Identity

NPI1912385303
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameTONG WANGCredential: MD
Location Address4101 MACON POND RDRaleigh, NC 27607-6319
Mailing Address4101 Macon Pond RdRaleigh, NC 27607-6319 · (919) 781-7070
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2015
Enumeration DateMay 18, 2015
Last NPPES UpdateAugust 15, 20234 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1912385303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A175743
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301116942 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301107061 (MI)
4101 MACON POND RD, Raleigh, NC 27607

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

Tong Wang 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 ID4587979703
PECOS Enrollment IDI20230928003647
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 3

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 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.
39 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

87.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.86
Promoting Interoperability99
Improvement Activities40
Cost49.42

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.

Mastectomy Fitter
4101 MACON POND RD, 1290-PROSTHESIS FITTING ROOM
RALEIGH, NC 27607
Physician Assistant
4101 MACON POND RD
RALEIGH, NC 27607
Internal Medicine (Hematology & Oncology)
4101 MACON POND RD
RALEIGH, NC 27607
Physician Assistant (Medical)
4101 MACON POND RD
RALEIGH, NC 27607
Nurse Practitioner (Adult Health)
4101 MACON POND RD
RALEIGH, NC 27607
Surgery
4101 MACON POND RD
RALEIGH, NC 27607
Physician Assistant
4101 MACON POND RD
RALEIGH, NC 27607
Nurse Practitioner
4101 MACON POND RD
RALEIGH, NC 27607

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 Tong Wang's NPI number?

The NPI number for Tong Wang is 1912385303. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Tong Wang located?

Tong Wang practices at 4101 Macon Pond Rd, Raleigh, NC 27607. The listed phone number is (919) 781-7070.

What is Tong Wang's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Tong Wang enrolled in Medicare?

Yes. Tong Wang 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 Tong Wang accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Tong Wang 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 Tong Wang affiliated with any hospitals?

According to CMS data, Tong Wang is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Tong Wang was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.