DR. SAMUEL SONG DMD
NPI 1487117529
Dentist - Oral and Maxillofacial Surgery in Daytona Beach, FL

Q: What is Samuel Song's NPI number?

The NPI number for Samuel Song is 1487117529. It was assigned to this individual provider in the NPPES registry on April 6, 2019.

Q: What is Samuel Song's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Song was last updated on June 24, 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.

Active since April 06, 2019PECOS EnrolledAccepts Medicare Assignment

549 HEALTH BLVD, DAYTONA BEACH, FL 32114(386) 252-6438 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Jun 17, 2024, Jun 26, 2020 and 1 more (4 updates tracked since 2019).

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About Dr. Samuel Song Dmd NPPES

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

DR. SAMUEL SONG DMD (NPI 1487117529) is an individual oral and maxillofacial surgery provider in Daytona Beach, Florida, licensed in Florida (DN24730) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Tufts University School Of Dental Medicine (2019).

NPPES Registry Identity

NPI1487117529

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. SAMUEL SONGCredential: DMD

Location Address549 HEALTH BLVDDaytona Beach, FL 32114-1493

Mailing Address549 Health BlvdDaytona Beach, FL 32114-1493

Phone(386) 252-6438

Sole ProprietorNo

Medical School CMSTufts University School Of Dental MedicineGraduated 2019

Enumeration DateApril 6, 2019

Last NPPES UpdateJune 24, 20244 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1487117529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in FL · DN24730

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

549 HEALTH BLVD, Daytona Beach, FL 32114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.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. Samuel Song Dmd 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 ID6305385048

PECOS Enrollment IDI20240827000828

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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100017

Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

HEALTH BOULEVARD SURGICAL CENTER

Clinic/Center (Ambulatory Surgical)