1. Home
  2. Directory
  3. Wisconsin
  4. Madison
  5. Dentist
  6. NPI Profile

DR. ANDREW WONBIN SONG DMD
NPI 1215596804
Dentist in Madison, WI

Active since June 07, 2019PECOS Enrolled
2713 MARSHALL CT, MADISON, WI 53705(608) 442-4400 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2019, Jun 7, 2019 (2 updates tracked since 2019).

About Dr. Andrew Wonbin Song Dmd NPPES

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

DR. ANDREW WONBIN SONG DMD (NPI 1215596804) is an individual dentist in Madison, Wisconsin, licensed in Wisconsin (1002090) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215596804
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ANDREW WONBIN SONGCredential: DMD
Location Address2713 MARSHALL CTMadison, WI 53705-2255
Mailing Address2713 Marshall CtMadison, WI 53705-2255 · (281) 854-4403
Phone(608) 442-4400
Sole ProprietorNo
Enumeration DateJune 7, 2019
Last NPPES UpdateOctober 9, 20192 updates tracked since enumeration
✔ NPI 1215596804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 1002090
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2713 MARSHALL CT, Madison, WI 53705
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Wonbin Song Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

DR. RAMBOD S FARD DDS
Dentist (General Practice)
2713 MARSHALL CT
MADISON, WI 53705
Dane County (608) 442-4400
DR. MATTHEW J OBOIKOVITZ DMD
Dentist
2713 MARSHALL CT
MADISON, WI 53705
Dane County (608) 442-4400

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 Andrew Song's NPI number?

The NPI number for Andrew Song is 1215596804. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Andrew Song located?

Andrew Song practices at 2713 Marshall Ct, Madison, WI 53705. The listed phone number is (608) 442-4400.

What is Andrew Song's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Andrew Song enrolled in Medicare?

Yes. Andrew Song is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Song accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 6 other insurers list Andrew 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 Andrew Song was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.