DR. SEOKHAN SONG D.O., M.S.
NPI 1194163170
Family Medicine in Sun City, AZ

Q: What is Seokhan Song's NPI number?

The NPI number for Seokhan Song is 1194163170. It was assigned to this individual provider in the NPPES registry on June 12, 2013. The provider is also known as Dr. Kyle Song D.O., M.S..

Q: What is Seokhan 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 Seokhan Song was last updated on April 14, 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.

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment

14678 N DEL WEBB BLVD, SUN CITY, AZ 85351(623) 933-8289(623) 933-2596 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2026, Oct 22, 2021, May 24, 2021 and 1 more (4 updates tracked since 2019).

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About Dr. Seokhan Song D.o., M.s. NPPES

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

DR. SEOKHAN SONG D.O., M.S. (NPI 1194163170) is an individual family medicine provider in Sun City, Arizona, licensed in Arizona (011740) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Virginia Gay Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194163170

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SEOKHAN SONGCredential: D.O., M.S.

Location Address14678 N DEL WEBB BLVDSun City, AZ 85351-2137

Mailing Address14678 N Del Webb BlvdSun City, AZ 85351-2137 · (623) 933-8289 · Fax (623) 933-2596

Phone(623) 933-8289

Fax(623) 933-2596

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 12, 2013

Last NPPES UpdateApril 14, 20264 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1194163170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 011740

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.

14678 N DEL WEBB BLVD, Sun City, AZ 85351

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Other Names 1

Other Name (5)Dr. Kyle Song D.o., M.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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. Seokhan Song D.o., M.s. 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 ID9436468709

PECOS Enrollment IDI20250917000775

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

Medicare enrollment records show Seokhan Song reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maxwell Group

Same address

Internal Medicine

14678 N DEL WEBB BLVD
Sun City, AZ 85351

Reassigned Medicare billing, Arizona enrollment
17 clinicians in this Medicare group

NPI 1912188384 (623) 933-8289

Fauquier Physician Practices LLC

1,948 mi

Internal Medicine

550 HOSPITAL DR
Warrenton, VA 20186

Reassigned Medicare billing, Virginia enrollment
111 clinicians in this Medicare group

NPI 1770916983 (540) 316-5940

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

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

Virginia Gay Hospital

Critical Access Hospitals · Vinton, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161349

Location502 North 9th AvenueVinton, IA 52349 · Benton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

93%4,785 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

63%205 patients3/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

95%400 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

19%1,108 patients1/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

60%1,108 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

24%1,108 patients2/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

25%1,108 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers23 claims63 services$6.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Valerie ***** December 26, 2025

5/5

My first visit with Dr. Song was very positive. I was there for 2 Cortisone shots for problems with Arthritis in my knee and arm/shoulder. I have been experiencing pain daily for sometime and it had been more than 3 months since my last shot in the arm/shoulder. However I have been diagnosed with Arthritis in my arm so I was relying on Tylenol. Dr. Song was very knowledgeable and professional.

Office Staff 4/5

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Other Providers at the Same Location NPPES 12

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

MICHAEL JUSTIN WILLCOX MD

Family Medicine