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DR. ELLEN TERESA SONG M.D.
NPI 1528079589
Pediatrics in Irvine, CA

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
16300 SAND CANYON AVE STE 209, IRVINE, CA 92618(949) 216-6900(949) 387-5130 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ellen Teresa Song M.d. NPPES

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

DR. ELLEN TERESA SONG M.D. (NPI 1528079589) is an individual pediatrics provider in Irvine, California, licensed in California (A86825) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2000).

NPPES Registry Identity

NPI1528079589
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ELLEN TERESA SONGCredential: M.D.
Location Address16300 SAND CANYON AVE STE 209Irvine, CA 92618-3712
Mailing Address16300 Sand Canyon Ave Ste 209Irvine, CA 92618-3712 · (949) 216-6900 · Fax (949) 387-5130
Phone(949) 216-6900
Fax(949) 387-5130
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2000
Enumeration DateAugust 11, 2006
Last NPPES UpdateDecember 19, 2013
✔ NPI 1528079589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A86825
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License A86825 (CA)
16300 SAND CANYON AVE STE 209, Irvine, CA 92618
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Other Identifiers 1

Medicare UPINI14729CA

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. Ellen Teresa Song M.d. 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 ID4789650797
PECOS Enrollment IDI20040909000910
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 2

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 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.
401 services89 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.
67 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Ellen Song's NPI number?

The NPI number for Ellen Song is 1528079589. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Ellen Song located?

Ellen Song practices at 16300 Sand Canyon Ave Ste 209, Irvine, CA 92618. The listed phone number is (949) 216-6900.

What is Ellen Song's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ellen Song enrolled in Medicare?

Yes. Ellen 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.

When was this NPI record last updated?

The NPPES record for Ellen Song was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.