DR. KYLE ROBERT SONG MD
NPI 1366620007
Plastic Surgery in Irvine, CA

Q: What is Kyle Song's NPI number?

The NPI number for Kyle Song is 1366620007. It was assigned to this individual provider in the NPPES registry on February 5, 2008.

Q: What is Kyle Song's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Song was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 05, 2008PECOS Enrolled

4968 BOOTH CIR, SUITE 105, IRVINE, CA 92604(949) 701-4454(949) 701-4878 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Kyle Robert Song Md NPPES

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

DR. KYLE ROBERT SONG MD (NPI 1366620007) is an individual plastic surgery provider in Irvine, California, licensed in California (A102406) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366620007

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. KYLE ROBERT SONGCredential: MD

Location Address4968 BOOTH CIR, SUITE 105Irvine, CA 92604-3360

Mailing Address4968 Booth Cir, Suite 105Irvine, CA 92604-3360 · (949) 701-4454 · Fax (949) 701-4878

Phone(949) 701-4454

Fax(949) 701-4878

Sole ProprietorNo

Enumeration DateFebruary 5, 2008

Last NPPES UpdateApril 8, 2015

✔ NPI 1366620007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A102406

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

4968 BOOTH CIR, Irvine, CA 92604

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle Robert Song Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Song Plastic Surgery, Inc.

Same address

Plastic and Reconstructive Surgery

4968 BOOTH CIR, SUITE 105
Irvine, CA 92604

Reassigned Medicare billing, California enrollment
3 clinicians in this Medicare group

NPI 1730445313 (949) 701-4454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92604 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 6

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

MRS. LUCY DAWN GIN CPNP-PC

Nurse Practitioner

4968 BOOTH CIR
IRVINE, CA 92604

Orange County (949) 387-4900

ARIANA POULAKOS N.D.

Naturopath

4968 BOOTH CIR, SUITE 101
IRVINE, CA 92604

Orange County (949) 753-7475

DR. MINDY MICHELE FINFROCK M.D.

Pediatrics

4968 BOOTH CIR
IRVINE, CA 92604

Orange County (949) 387-4900

SONG PLASTIC SURGERY, INC.

Surgery (Plastic and Reconstructive Surgery)

4968 BOOTH CIR, SUITE 105
IRVINE, CA 92604

Orange County (949) 701-4454

FELICE L. GERSH, M.D., INC.

Clinic/Center (Multi-Specialty)

4968 BOOTH CIR, 101
IRVINE, CA 92604

Orange County (949) 753-7475

ORANGE COUNTY PLASTIC SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

4968 BOOTH CIR, SUITE 103
IRVINE, CA 92604

Orange County (949) 701-4454

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 Kyle Song's NPI number?

The NPI number for Kyle Song is 1366620007. It was assigned to this individual provider in the NPPES registry on February 5, 2008.

Where is Kyle Song located?

Kyle Song practices at 4968 Booth Cir Suite 105, Irvine, CA 92604. The listed phone number is (949) 701-4454.

What is Kyle Song's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kyle Song enrolled in Medicare?

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

Which organization bills Medicare for Kyle Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Song reassigns Medicare benefits to Song Plastic Surgery, Inc. (Irvine, CA). The 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 Kyle Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyle Song was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.