Theresa Wong
NPI 1215469176ActiveIndividual· Internal Medicine, Geriatric Medicine· Pasadena, CA
Opted out of Medicare from March 2024 to March 2028. Internal Medicine, Geriatric Medicine in Pasadena, California, licensed in CA, with an NPI issued in March 2017. Part D covered 1,038 prescriptions written in 2024, 84% of them generic.
Overview
| NPI | 1215469176 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 30, 2017 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | A159265 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Mar 25, 2024 – Mar 25, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 1,038 · 1,090 30-day fills |
|---|---|
| Patients | 119 |
| Total drug cost | $104,583 |
| Generic share | 84% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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