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JIMMY SONG PA-C
NPI 1689400848
Physician Assistant in Lone Tree, CO

Active since September 12, 2024PECOS EnrolledAccepts Medicare Assignment
10535 PARK MEADOWS BLVD STE 301, LONE TREE, CO 80124(303) 662-8250 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jimmy Song Pa-c NPPES

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

JIMMY SONG PA-C (NPI 1689400848) is an individual physician assistant in Lone Tree, Colorado and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689400848
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJIMMY SONGCredential: PA-C
Location Address10535 PARK MEADOWS BLVD STE 301Lone Tree, CO 80124-8456
Mailing Address10535 Park Meadows Blvd Ste 301Lone Tree, CO 80124-8456 · (303) 662-8250
Phone(303) 662-8250
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1689400848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
10535 PARK MEADOWS BLVD STE 301, Lone Tree, CO 80124
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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

Jimmy 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 ID4789115494
PECOS Enrollment IDI20241006000047
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80124 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 5

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

ROGER CORVASCE DO
Orthopaedic Surgery
10535 PARK MEADOWS BLVD STE 301
LONE TREE, CO 80124
Douglas County (303) 662-8249
CASEY BRUTON
Physician Assistant
10535 PARK MEADOWS BLVD STE 301
LONE TREE, CO 80124
Douglas County (303) 662-8250
MICHAEL HABLISTON
Physician Assistant
10535 PARK MEADOWS BLVD STE 301
LONE TREE, CO 80124
Douglas County (303) 662-8250
YITZAK FOX DO
Orthopaedic Surgery
10535 PARK MEADOWS BLVD STE 301
LONE TREE, CO 80124
Douglas County (303) 662-8250
DR. SCOTT JAMISON KOENIG II M.D.
Orthopaedic Surgery
10535 PARK MEADOWS BLVD STE 301
LONE TREE, CO 80124
Douglas County (303) 662-8250

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 Jimmy Song's NPI number?

The NPI number for Jimmy Song is 1689400848. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Jimmy Song located?

Jimmy Song practices at 10535 Park Meadows Blvd Ste 301, Lone Tree, CO 80124. The listed phone number is (303) 662-8250.

What is Jimmy Song's specialty?

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

Is Jimmy Song enrolled in Medicare?

Yes. Jimmy 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 Jimmy Song was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.