SAM S SONG
NPI 1255160917
Nurse Practitioner - Gerontology in Norwood, MA

Q: What is Sam Song's NPI number?

The NPI number for Sam Song is 1255160917. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Q: What is Sam Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Sam Song was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 July 31, 2024PECOS EnrolledAccepts Medicare Assignment

1177 PROVIDENCE HIGHWAY, NORWOOD, MA 02062(781) 278-5600 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Jul 31, 2024 (2 updates tracked since 2024).

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About Sam S Song NPPES

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

SAM S SONG (NPI 1255160917) is an individual gerontology provider in Norwood, Massachusetts, licensed in Massachusetts (RN2352469) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255160917

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameSAM S SONG

Location Address1177 PROVIDENCE HIGHWAYNorwood, MA 02062

Mailing Address1177 Providence HighwayNorwood, MA 02062

Phone(781) 278-5600

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 31, 2024

Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1255160917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MA · RN2352469

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN2352469 (MA)

1177 PROVIDENCE HIGHWAY, Norwood, MA 02062

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sam S Song 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 ID941740757

PECOS Enrollment IDI20240907000264

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 02062 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

MANAN JAIN DO

Family Medicine