DR. JIANMING SONG M.D.
NPI 1073702817
Family Medicine in Everett, WA

Q: What is Jianming Song's NPI number?

The NPI number for Jianming Song is 1073702817. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Q: What is Jianming Song's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jianming Song was last updated on December 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 17, 2007PECOS EnrolledAccepts Medicare Assignment

3927 RUCKER AVE, EVERETT, WA 98201(425) 339-5422(423) 339-5444 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2018, Oct 4, 2018 (2 updates tracked since 2018).

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About Dr. Jianming Song M.d. NPPES

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

DR. JIANMING SONG M.D. (NPI 1073702817) is an individual family medicine provider in Everett, Washington, licensed in Washington (MD60627719) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Blue Mountain Hospital, and maintains a secondary practice location in Reedsport.

NPPES Registry Identity

NPI1073702817

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JIANMING SONGCredential: M.D.

Location Address3927 RUCKER AVEEverett, WA 98201-4833

Mailing AddressPo Box 5127Everett, WA 98206-5127 · (425) 339-5422 · Fax (425) 339-5444

Phone(425) 339-5422

Fax(423) 339-5444

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateOctober 17, 2007

Last NPPES UpdateDecember 7, 20182 updates tracked since enumeration

✔ NPI 1073702817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WA · MD60627719✔ Licensed in OR · MD27877

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3927 RUCKER AVE, Everett, WA 98201

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Secondary Practice Location 1

Location 1600 Ranch Rd, Lower Umpqua HospitalReedsport, OR 97467-1720 · Phone (541) 271-2171 · Fax (541) 271-4058

Other Identifiers 1

Medicaid276263OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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

Dr. Jianming Song M.d. 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 ID5991885360

PECOS Enrollment IDI20080110000537

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.

Hospital Affiliations CMS Care Compare 4

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

Blue Mountain Hospital

Critical Access Hospitals · John Day, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381305

Location170 Ford RoadJohn Day, OR 97845 · Grant County

Emergency services

Pioneer Memorial Hospital (heppner)

Critical Access Hospitals · Heppner, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381310

Location564 E Pioneer DriveHeppner, OR 97836 · Morrow County

Emergency services

Arbor Health Morton Hospital

Critical Access Hospitals · Morton, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501319

Location521 Adams StreetMorton, WA 98356 · Lewis County

Emergency services

Forks Community Hospital

Critical Access Hospitals · Forks, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501325

Location530 Bogachiel WayForks, WA 98331 · Clallam County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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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.

RAYNALD H IM M.D.

Family Medicine