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

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: October 18, 2026.

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

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 Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Jianming Song reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Care Washington PLLC
0.1 mi
Multi-Specialty
3901 HOYT AVE
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 1,285 clinicians in this Medicare group
NPI 1831186766 (425) 259-0966
Lewis County Hospital District No. 1
97 mi
Rural Health
13051 US HWY 12, STE 2
Packwood, WA 98361
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1154361814 (Washington)
  • 54 clinicians in this Medicare group
NPI 1497466494 (360) 496-5112
Clallam County Public Hospital District No 1
101 mi
Critical Access
530 BOGACHIEL WAY
Forks, WA 98331
  • Reassigned Medicare billing, Washington enrollment
  • 38 clinicians in this Medicare group
NPI 1891879680 (360) 374-6271
Olney Emergency Group, A Professional LLC
142 mi
Emergency Medicine
502 W 4TH AVE
Toppenish, WA 98948
  • Reassigned Medicare billing, Washington enrollment
  • 55 clinicians in this Medicare group
NPI 1386108868 (509) 865-1500
Morrow County Health District
205 mi
Rural Health
365 W 3RD ST
Ione, OR 97843
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1578594198 (Oregon)
  • 31 clinicians in this Medicare group
NPI 1477945517 (541) 676-9133
Blue Mountain Hospital District
290 mi
Rural Health
180 FORD RD
John Day, OR 97845
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1356414395 (Oregon)
  • 66 clinicians in this Medicare group
NPI 1568536035 (541) 575-0404

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

Hospital Affiliations CMS Care Compare 3

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

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.

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
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422
MR. FLORIE GONZALES JR. OTR/L, CHT
Occupational Therapist
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5491
KELLY L WHITEHILL
Clinical Nurse Specialist (Medical-Surgical)
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5480
DR. KURT R. DUFFENS M.D.
Internal Medicine
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422
SHANNON E LONG PT, DPT
Physical Therapist
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5419
MARY E MITCHELL PA
Physician Assistant (Medical)
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422
EDWARD R BAUER CRNA
Nurse Anesthetist, Certified Registered
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 259-0966
FANTAHUN MULUGETA TEDLA P.A-C
Physician Assistant
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422

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 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.

Where is Jianming Song located?

Jianming Song practices at 3927 Rucker Ave, Everett, WA 98201. The listed phone number is (425) 339-5422.

What is Jianming Song's specialty?

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

Is Jianming Song enrolled in Medicare?

Yes. Jianming Song 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.

Which organizations bill Medicare for Jianming Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jianming Song reassigns Medicare benefits to 6 organizations: Optum Care Washington PLLC (Everett, WA), Lewis County Hospital District No. 1 (Packwood, WA), Clallam County Public Hospital District No 1 (Forks, WA), Olney Emergency Group, A Professional LLC (Toppenish, WA), Morrow County Health District (Ione, OR) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jianming Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jianming Song accept?

Health plans from Providence Health Plan list Jianming Song 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 Jianming Song affiliated with any hospitals?

According to CMS data, Jianming Song is affiliated with Blue Mountain Hospital, Pioneer Memorial Hospital (heppner) and Arbor Health Morton Hospital.

When was this NPI record last updated?

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