SOON-IL SONG M.D.
NPI 1063464386
Internal Medicine in Rochester, NY

Q: What is Soon-il Song's NPI number?

The NPI number for Soon-il Song is 1063464386. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Soon-il Song's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soon-il Song was last updated on January 11, 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.

Active since May 16, 2006PECOS Enrolled

95.19/100

CMS Quality Rating

82 HOLLAND ST, ROCHESTER, NY 14605(585) 423-5800(585) 423-2890 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Soon-il Song M.d. NPPES

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

SOON-IL SONG M.D. (NPI 1063464386) is an individual internal medicine provider in Rochester, New York, licensed in New York (260927) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063464386

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSOON-IL SONGCredential: M.D.

Location Address82 HOLLAND STRochester, NY 14605-2131

Mailing Address214c Lake AveRochester, NY 14608-1208 · (585) 423-5800 · Fax (585) 423-2890

Phone(585) 423-5800

Fax(585) 423-2890

Sole ProprietorYes

Enumeration DateMay 16, 2006

Last NPPES UpdateJanuary 11, 2017

✔ NPI 1063464386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 260927

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.

82 HOLLAND ST, Rochester, NY 14605

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Other Identifiers 2

Medicaid03361960NY

Medicare PINJ400305748NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soon-il Song 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 Billing Reassignment

Medicare enrollment records show Soon-il Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rochester General Hospital

1.4 mi

Internal Medicine

222 ALEXANDER ST
Rochester, NY 14607

Reassigned Medicare billing, New York enrollment
2,285 clinicians in this Medicare group

NPI 1760557656 (585) 922-3150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

136 services93 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.

17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14605 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

2 suppliers17 claims17 services$35.92 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.

DR. PETER EDWARD GRINION LCSW

Counselor (Mental Health)

82 HOLLAND ST, ANTHONY JORDAN HEALTH CENTER
ROCHESTER, NY 14605

Monroe County (585) 423-5800

LATOYA SCOTT DDS

Dentist (General Practice)