DR. SONG KI YU DPM
NPI 1790770352
Podiatrist in Fairfield, CT

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1817 BLACK ROCK TPKE, STE 8 ADVANCED MEDICAL FOOTCARE, FAIRFIELD, CT 06825(203) 330-8080(203) 334-6924 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Song Ki Yu Dpm NPPES

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

DR. SONG KI YU DPM (NPI 1790770352) is an individual podiatrist in Fairfield, Connecticut, licensed in Connecticut (000764) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1790770352
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. SONG KI YUCredential: DPM
Location Address1817 BLACK ROCK TPKE, STE 8 ADVANCED MEDICAL FOOTCAREFairfield, CT 06825-3546
Mailing Address1817 Black Rock Tpke, Ste 8Fairfield, CT 06825-3546 · (203) 330-8080 · Fax (203) 334-6924
Fax(203) 334-6924
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMarch 4, 2014
NPI 1790770352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CT · 000764
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1817 BLACK ROCK TPKE, Fairfield, CT 06825

Other Identifiers 4

Medicare ID-Type Unspecified480000917CT
Other5454010001CT · Dme
Medicare NSC5454010001CT
Medicare UPINU96330

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. Song Ki Yu Dpm 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 ID9133032857
PECOS Enrollment IDI20050613000668
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 16

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.
972 services352 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
879 services224 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
829 services205 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
764 services187 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
700 services170 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
383 services95 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06825 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier32 claims64 services$61.56 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier31 claims186 services$25.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Ophthalmology
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Naturopath
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Dentist (Pediatric Dentistry)
1817 BLACK ROCK TPKE, SUITE #3
FAIRFIELD, CT 06825
Clinic/Center
1817 BLACK ROCK TPKE, SUITE 102
FAIRFIELD, CT 06825
Counselor (Mental Health)
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Dentist (Orthodontics and Dentofacial Orthopedics)
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Dentist (Orthodontics and Dentofacial Orthopedics)
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825

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 Song Yu's NPI number?

The NPI number for Song Yu is 1790770352. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Song Yu located?

Song Yu practices at 1817 Black Rock Tpke Ste 8 Advanced Medical Footcare, Fairfield, CT 06825. The listed phone number is (203) 330-8080.

What is Song Yu's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Song Yu enrolled in Medicare?

Yes. Song Yu 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 Song Yu was last updated on March 4, 2014. 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.