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MI-KYOUNG SONG M.D.
NPI 1619962131
Ophthalmology - Retina Specialist in Salem, OR

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
5125 SKYLINE RD S, SALEM, OR 97306(503) 361-5400 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2022, Jan 28, 2022, Mar 19, 2020 and 1 more (4 updates tracked since 2020).

About Mi-kyoung Song M.d. NPPES

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

MI-KYOUNG SONG M.D. (NPI 1619962131) is an individual retina specialist in Salem, Oregon, licensed in Oregon (MD207140) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1994).

NPPES Registry Identity

NPI1619962131
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameMI-KYOUNG SONGCredential: M.D.
Location Address5125 SKYLINE RD SSalem, OR 97306-9427
Mailing Address5125 Skyline Rd SSalem, OR 97306-9413 · (503) 361-5400
Phone(503) 361-5400
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1994
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJanuary 16, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1619962131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in OR · MD207140
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
5125 SKYLINE RD S, Salem, OR 97306
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Kaiser Permanente.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

Mi-kyoung 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 ID6103965314
PECOS Enrollment IDI20220310001203
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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
36 services11 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
35 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97306 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

ANDREA S HATCHETTE MD
Urology
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (844) 549-0600
MR. JOEL HORST PA-C
Physician Assistant (Medical)
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (503) 763-3639
KATHIE L YELLIOTT LCSW
Social Worker (Clinical)
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (503) 588-5955
MS. LIANNE MARI DYCHE LCSW
Social Worker (Clinical)
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (800) 813-2000
HEATHER MELLEN JENSEN O.D.
Optometrist
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (503) 361-5400
LINDSAY MICHAEL LAUX-PITTMAN MSW, LCSW
Social Worker (Clinical)
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (855) 632-8280
DR. MICHAEL ADAM MARLOWE M.D.
Pediatrics
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (503) 361-5400
ERICK FREDERICK RIVERA LCSW
Social Worker (Clinical)
5125 SKYLINE RD S
SALEM, OR 97306
Marion County (503) 588-5963

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 Mi-kyoung Song's NPI number?

The NPI number for Mi-kyoung Song is 1619962131. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Mi-kyoung Song located?

Mi-kyoung Song practices at 5125 Skyline Rd S, Salem, OR 97306. The listed phone number is (503) 361-5400.

What is Mi-kyoung Song's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Mi-kyoung Song enrolled in Medicare?

Yes. Mi-kyoung 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.

What insurance does Mi-kyoung Song accept?

Health plans from Blue Cross and Blue Shield of Texas and Kaiser Permanente list Mi-kyoung Song 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.

When was this NPI record last updated?

The NPPES record for Mi-kyoung Song was last updated on January 16, 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.