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MARY SONG PA-C
NPI 1396589024
Physician Assistant in Boston, MA

Active since June 19, 2024PECOS EnrolledAccepts Medicare Assignment
179 LONGWOOD AVE, BOSTON, MA 02115(978) 995-2625 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary Song Pa-c NPPES

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

MARY SONG PA-C (NPI 1396589024) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA100794) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396589024
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY SONGCredential: PA-C
Location Address179 LONGWOOD AVEBoston, MA 02115-5804
Mailing Address179 Longwood AveBoston, MA 02115-5804 · (978) 995-2625
Phone(978) 995-2625
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 19, 2024
NPPES CertifiedJune 19, 2024
✔ NPI 1396589024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA100794
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
179 LONGWOOD AVE, Boston, MA 02115
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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

Mary Song Pa-c 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 ID5395276455
PECOS Enrollment IDI20241001001950
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 3

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.

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.
34 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

MICHAELA SMITH
Physician Assistant
179 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 731-2918
JUSTIN SCHNEIDER
Physician Assistant
179 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 732-2918
JOAN PALO PA
Physician Assistant
179 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 732-2918
TIMOTHY M WINDERS
Student in an Organized Health Care Education/Training Program
179 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 732-2800
JAKOBE TAYLOR FITZGERALD PA-C
Physician Assistant
179 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 732-2850
FORSYTH HYGIENE PROGRAM
Clinic/Center (Dental)
179 LONGWOOD AVE, FORSTYH SCHOOL OF DENTAL HYGIENE
BOSTON, MA 02115
Suffolk County (617) 278-2700
LAUREN GRACE CRUSHA
Physician Assistant
179 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 732-2918
SIERRAH COMFORT
Physician Assistant
179 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 732-2918

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 Mary Song's NPI number?

The NPI number for Mary Song is 1396589024. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Mary Song located?

Mary Song practices at 179 Longwood Ave, Boston, MA 02115. The listed phone number is (978) 995-2625.

What is Mary Song's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Song enrolled in Medicare?

Yes. Mary Song 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.

Is Mary Song affiliated with any hospitals?

According to CMS data, Mary Song is affiliated with Mount Auburn Hospital.

When was this NPI record last updated?

The NPPES record for Mary Song was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.