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Deactivated NPI 1033118625 Deactivated / Inactive NPI Male Practitioner

Dr. Gemo Y Wong , MD

General Practice • Cairo, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gemo Wong has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2005
NPI Deactivation Date January 27, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Gemo Wong, MD was a registered General Practice practicing in Cairo, IL. Throughout an active medical career spanning 16 years, Dr. Wong provided care at the practice location at 13245 KESSLER RD until profile deactivation on 2021-01-27.

Historical Medicare Part B clinical services included injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, dexamethasone sodium phosphate, 1 mg, urinalysis, manual test. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

13245 Kessler Rd

Cairo, IL 629143101

Telephone 6187344400
Fax 6187342884
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Cairo, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Cairo, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
143 27 $20.00 $1.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg
83 12 $10.00 $0.13
81002 Urinalysis, manual test
30 30 $20.00 $3.44

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036042845

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Courtney Ledbetter , PA-C

Physician Assistant

NPI 1023019916

Physician Assistant (Certified)

Dr. Muhammad Memon , MD

Internal Medicine

NPI 1467571497

Doctor of Medicine (M.D.)

NPI 1518503275

Doctor of Dental Surgery

Erin Brown

Nurse Practitioner - Pediatrics

NPI 1528656196
NPI 1538723127
Robert Dansby , APRN

Nurse Practitioner - Family

NPI 1548456122

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 27, 2021

Record deactivated on January 27, 2021

NPI Profile Active September 08, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 08, 2010

Registered at 13245 KESSLER RD, CAIRO, IL 629143101 (Tel: 6187344400)

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Updated Business Mailing Address September 08, 2010

Registered at PO BOX 3008, CARBONDALE, IL 629023008 (Tel: 6184570450)

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Provider Name / Credentials Updated September 08, 2010

Recorded as GEMO WONG, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2010

General Practice (License #036042845 in IL)

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Initial NPI Registration & Enumeration July 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033118625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2005
Last Update: September 08, 2010
Deactivation Date: January 27, 2021

Mailing Address

Po Box 3008

Carbondale, IL 629023008

Phone: 6184570450

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.