SAMUEL SONG
NPI 1225150014
Radiology - Diagnostic Radiology in Glenwood Springs, CO

Active since April 04, 2007PECOS Enrolled
91.76/100
CMS Quality Rating
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601(970) 447-4065 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2022, Aug 30, 2022 (2 updates tracked since 2022).

About Samuel Song NPPES

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

SAMUEL SONG (NPI 1225150014) is an individual diagnostic radiology provider in Glenwood Springs, Colorado, licensed in Michigan (4301506090) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mountainview Hospital, and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1225150014
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSAMUEL SONG
Location Address1906 BLAKE AVEGlenwood Springs, CO 81601-4227
Mailing Address2625 San MarcoNewport Beach, CA 92660-3268 · (248) 390-5171
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2006
Enumeration DateApril 4, 2007
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1225150014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MI · 4301506090✔ Licensed in IL · 036159456✔ Licensed in MO · 2022012726
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1906 BLAKE AVE, Glenwood Springs, CO 81601

Secondary Practice Location 1

Location 1101 The City Dr S, Building 56, Suite 300Orange, CA 92868-3201 · Phone (714) 456-6595

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Song is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284890989
PECOS Enrollment IDI20120725000146, I20230405000018, I20240920002192, I20250421002303, I20250813001195
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

24

Medicare enrollment records show Samuel Song reassigns Medicare billing to 24 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
595 RUSSELL ST
Craig, CO 81625
  • Reassigned Medicare billing, Colorado enrollment
  • 181 clinicians in this Medicare group
Diagnostic Radiology
2635 N 7TH ST
Grand Junction, CO 81501
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
Diagnostic Radiology
601 DR MARTIN LUTHER KING JR AVE NE
Albuquerque, NM 87102
  • Reassigned Medicare billing, California enrollment
  • 44 clinicians in this Medicare group
Critical Access
800 E 9TH AVE
Truth Or Consequences, NM 87901
  • Reassigned Medicare billing, California and New Mexico enrollments
  • 8 clinicians in this Medicare group
Diagnostic Radiology
3186 S MARYLAND PKWY
Las Vegas, NV 89109
  • Reassigned Medicare billing, California and Nevada enrollments
  • 30 clinicians in this Medicare group
Diagnostic Radiology
5605 W EUGIE AVE STE 110
Glendale, AZ 85304
  • Reassigned Medicare billing, Arizona enrollment
  • 214 clinicians in this Medicare group
Diagnostic Radiology
7200 CATHEDRAL ROCK DR STE 230
Las Vegas, NV 89128
  • Reassigned Medicare billing, California enrollment
  • 37 clinicians in this Medicare group
Vascular & Interventional Radiology
1400 S DOBSON RD
Mesa, AZ 85202
  • Reassigned Medicare billing, California enrollment
  • 94 clinicians in this Medicare group
Diagnostic Radiology
657 N TOWN CENTER DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Diagnostic Radiology
2621 N WHISENANT DR
Duncan, OK 73533
  • Reassigned Medicare billing, California enrollment
  • 27 clinicians in this Medicare group

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 46

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,954 services1,796 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
267 services264 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
168 services168 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
163 services163 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
158 services152 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
136 services134 patients

Hospital Affiliations CMS Care Compare 4

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

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290039
Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Carlsbad Medical Center

Acute Care Hospitals · Carlsbad, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number320063
Location2430 West Pierce StreetCarlsbad, NM 88220 · Eddy County
Emergency services Birthing friendly

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450107
Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81601 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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.

91.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40
Cost72.71

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.

Surgery
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
Anesthesiology
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
Health Educator
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
Radiology (Radiation Oncology)
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
Anesthesiology
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
Pediatrics (Pediatric Cardiology)
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
Nurse Practitioner (Family)
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601

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 Samuel Song's NPI number?

The NPI number for Samuel Song is 1225150014. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Samuel Song located?

Samuel Song practices at 1906 Blake Ave, Glenwood Springs, CO 81601. The listed phone number is (970) 447-4065.

What is Samuel Song's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Samuel Song enrolled in Medicare?

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

Which organizations bill Medicare for Samuel Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Song reassigns Medicare benefits to 24 organizations: Yampa Valley Medical Center (Craig, CO), Mountain Radiology, Inc (Grand Junction, CO), Imaging Associates Of New Mexico LLC (Albuquerque, NM), Sierra Vista Hospital (Truth Or Consequences, NM), Radiology Specialists Ltd Marasso-Miller (Las Vegas, NV) and 19 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 Samuel Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Song accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Select Health and Sendero Health Plans, Local Nonprofit list Samuel 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 Samuel Song affiliated with any hospitals?

According to CMS data, Samuel Song is affiliated with Mountainview Hospital, Memorial Medical Center, Carlsbad Medical Center and Las Palmas Medical Center A Campus Of Lpds Healthc.

When was this NPI record last updated?

The NPPES record for Samuel Song was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.