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JIE SONG M.D.
NPI 1114223351
Pathology - Anatomic Pathology & Clinical Pathology in Libertyville, IL

Active since February 06, 2011PECOS EnrolledAccepts Medicare Assignment
28100 N ASHLEY CIR STE 106, LIBERTYVILLE, IL 60048(847) 737-7719 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2026, Apr 18, 2024 (2 updates tracked since 2024).

About Jie Song M.d. NPPES

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

JIE SONG M.D. (NPI 1114223351) is an individual anatomic pathology & clinical pathology provider in Libertyville, Illinois, licensed in Illinois (036.124312) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114223351
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJIE SONGCredential: M.D.
Location Address28100 N ASHLEY CIR STE 106Libertyville, IL 60048-9478
Mailing Address28100 N Ashley Cir Ste 106Libertyville, IL 60048-9478 · (847) 996-1030 · Fax (847) 996-0791
Phone(847) 737-7719
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 6, 2011
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1114223351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in IL · 036.124312✔ Licensed in IN · 01069290A
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 036.124312 (IL)
28100 N ASHLEY CIR STE 106, Libertyville, IL 60048
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Jie 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 ID7416135942
PECOS Enrollment IDI20110701000134, I20230421000922
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

16

Medicare enrollment records show Jie Song reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Consolidated Pathology Consultants Sc
2.4 mi
Anatomic Pathology & Clinical Pathology
1000 N WESTMORELAND RD
Lake Forest, IL 60045
  • Reassigned Medicare billing, Illinois enrollment
  • 12 clinicians in this Medicare group
NPI 1003884206 (847) 996-1030
Gastroenterologists Ltd
3.3 mi
Gastroenterology
1105 W PARK AVE STE 1
Libertyville, IL 60048
  • Reassigned Medicare billing, Illinois enrollment
  • 12 clinicians in this Medicare group
NPI 1891993606 (847) 680-5880
Lake Shore Dermatology, Ltd.
5.8 mi
Dermatology
351 S. GREENLEAF, SUITE E
Park City, IL 60085
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1902977937 (847) 680-7100
North Shore Urogynecology Ltd
5.8 mi
Urogynecology and Reconstructive Pelvic Surgery
351 GREENLEAF AVE, E
Park City, IL 60085
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1013021922 (847) 234-1100
North Shore Center For Medical Aesthetics, Ltd.
9.7 mi
Dermatology
1535 LAKE COOK RD, SUITE 401
Northbrook, IL 60062
  • Reassigned Medicare billing, Illinois enrollment
  • 12 clinicians in this Medicare group
NPI 1508901307 (847) 480-1111
Ab Dermatology LLC
10 mi
Dermatology
3060 N ARLINGTON HEIGHTS RD
Arlington Heights, IL 60004
  • Reassigned Medicare billing, Illinois enrollment
  • 15 clinicians in this Medicare group
NPI 1285043646 (847) 394-1202
Deerfield Dermatology Associates, Ltd.
11 mi
Dermatology
707 LAKE COOK RD, SUITE #280
Deerfield, IL 60015
  • Reassigned Medicare billing, Illinois enrollment
  • 15 clinicians in this Medicare group
NPI 1225127244 (847) 480-0004
Schaumburg Dermatology Sc
17 mi
Dermatology
911 N PLUM GROVE RD STE A
Schaumburg, IL 60173
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1609987171 (847) 534-0700
Bakal Dermatology Associates, S.C.
19 mi
Dermatology
1786 MOON LAKE BLVD, SUITE #100
Hoffman Estates, IL 60169
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Bakal Dermatology Associates Sc
  • 7 clinicians in this Medicare group
NPI 1730188061 (847) 882-9300
Fmgc, S.C.
24 mi
Gastroenterology
303 W LAKE ST, STE. 205
Addison, IL 60101
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Fmgc Sc
  • 14 clinicians in this Medicare group
NPI 1578691846 (630) 458-8855

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 5

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,434 services966 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
123 services98 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
59 services38 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
40 services39 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
29 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60048 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSALIND F SHARAIN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
28100 N ASHLEY CIR STE 106
LIBERTYVILLE, IL 60048
Lake County (847) 996-1030
WENHUA LIU
Pathology (Anatomic Pathology & Clinical Pathology)
28100 N ASHLEY CIR STE 106
LIBERTYVILLE, IL 60048
Lake County (847) 996-1030

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 Jie Song's NPI number?

The NPI number for Jie Song is 1114223351. It was assigned to this individual provider in the NPPES registry on February 6, 2011.

Where is Jie Song located?

Jie Song practices at 28100 N Ashley Cir Ste 106, Libertyville, IL 60048. The listed phone number is (847) 737-7719.

What is Jie Song's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jie Song enrolled in Medicare?

Yes. Jie 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 Jie Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jie Song reassigns Medicare benefits to 16 organizations: Consolidated Pathology Consultants Sc (Lake Forest, IL), Gastroenterologists Ltd (Libertyville, IL), Lake Shore Dermatology, Ltd. (Park City, IL), North Shore Urogynecology Ltd (Park City, IL), North Shore Center For Medical Aesthetics, Ltd. (Northbrook, IL) and 11 more organizations, 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 Jie Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jie Song accept?

Health plans from CareSource list Jie 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.

When was this NPI record last updated?

The NPPES record for Jie Song was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.