DR. SONG YOUN PARK MD
NPI 1376173328
Dermatology in Seattle, WA

Active since January 17, 2020PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
4225 ROOSEVELT WAY NE FL 4, SEATTLE, WA 98105(206) 543-5290 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2023, Jan 17, 2020 (2 updates tracked since 2020).

About Dr. Song Youn Park Md NPPES

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

DR. SONG YOUN PARK MD (NPI 1376173328) is an individual dermatology provider in Seattle, Washington, licensed in Washington (61010637) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376173328
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. SONG YOUN PARKCredential: MD
Location Address4225 ROOSEVELT WAY NE FL 4Seattle, WA 98105-6099
Mailing Address4225 Roosevelt Way Ne Fl 4Seattle, WA 98105-6099 · (206) 598-4067
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 17, 2020
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
NPI 1376173328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WA · 61010637
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4225 ROOSEVELT WAY NE FL 4, Seattle, WA 98105

Accepted Insurance

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

Dr. Song Youn Park Md 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 ID2062840309
PECOS Enrollment IDI20200319001055
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.

Areas of Expertise CMS Part B claims 5

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
148 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services64 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
35 services31 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
25 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Anesthesiology (Pain Medicine)
4225 ROOSEVELT WAY NE FL 4
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4225 ROOSEVELT WAY NE FL 4
SEATTLE, WA 98105
Dermatology
4225 ROOSEVELT WAY NE FL 4
SEATTLE, WA 98105
Psychiatry & Neurology (Pain Medicine)
4225 ROOSEVELT WAY NE FL 4
SEATTLE, WA 98105
Dermatology
4225 ROOSEVELT WAY NE FL 4
SEATTLE, WA 98105
Obstetrics & Gynecology
4225 ROOSEVELT WAY NE FL 4
SEATTLE, WA 98105
Anesthesiology (Pain Medicine)
4225 ROOSEVELT WAY NE FL 4
SEATTLE, WA 98105

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 Song Park's NPI number?

The NPI number for Song Park is 1376173328. It was assigned to this individual provider in the NPPES registry on January 17, 2020.

Where is Song Park located?

Song Park practices at 4225 Roosevelt Way NE Fl 4, Seattle, WA 98105. The listed phone number is (206) 543-5290.

What is Song Park's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Song Park enrolled in Medicare?

Yes. Song Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Song Park accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Song Park 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 Song Park affiliated with any hospitals?

According to CMS data, Song Park is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Song Park was last updated on January 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.