CHAEWON SONG MD
NPI 1972589687
Internal Medicine - Geriatric Medicine in Garden Grove, CA

Active since December 15, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1063020 · Waiver
12665 GARDEN GROVE BLVD, SUITE 503, GARDEN GROVE, CA 92843(714) 530-3740(714) 530-0582 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Chaewon Song Md NPPES

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

CHAEWON SONG MD (NPI 1972589687) is an individual geriatric medicine provider in Garden Grove, California, licensed in California (C52295) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 2, 2027, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1972589687
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameCHAEWON SONGCredential: MD
Location Address12665 GARDEN GROVE BLVD, SUITE 503Garden Grove, CA 92843-1901
Mailing Address12665 Garden Grove Blvd, Suite 503Garden Grove, CA 92843-1901 · (714) 530-3740 · Fax (714) 530-0582
Fax(714) 530-0582
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 15, 2005
Last NPPES UpdateNovember 7, 2013
NPI 1972589687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in CA · C52295
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
12665 GARDEN GROVE BLVD, Garden Grove, CA 92843

Other Identifiers 3

Medicaid001397430CT
Medicare PINWC52295ACA
Medicare UPINH51490

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

Chaewon Song Md 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 ID4688661549
PECOS Enrollment IDI20070117000542
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1063020

Chaewon Song MD Inc · Garden Grove, CA
Active · expires Jan 2, 2027
CLIA Number05D1063020
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorChaewon Song MD
Laboratory Phone(714) 530-3740
Laboratory LocationChaewon Song MD Inc12665 Garden Grove Blvd #503, Garden Grove, CA 92843
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 36

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,410 services341 patients
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.
1,113 services313 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
698 services85 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
611 services299 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
449 services187 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
341 services340 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92843 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers155 claims330 services$5.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers141 claims151 services$0.99 avg. paid by Medicare
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
5 suppliers50 claims100 services$59.26 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
4 suppliers50 claims297 services$23.56 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims447 services$2.44 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers11 claims4,793 services$0.24 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 20

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

Physical Therapist
12665 GARDEN GROVE BLVD, SUITE 707
GARDEN GROVE, CA 92843
Pediatrics
12665 GARDEN GROVE BLVD, #604
GARDEN GROVE, CA 92843
Dentist
12665 GARDEN GROVE BLVD, 102
GARDEN GROVE, CA 92843
Pharmacist
12665 GARDEN GROVE BLVD, #108
GARDEN GROVE, CA 92843
Clinic/Center (Medical Specialty)
12665 GARDEN GROVE BLVD, SUITE 611
GARDEN GROVE, CA 92843
Pediatrics
12665 GARDEN GROVE BLVD, SUITE 713
GARDEN GROVE, CA 92843
Clinical Medical Laboratory
12665 GARDEN GROVE BLVD, 203
GARDEN GROVE, CA 92843
Pediatrics
12665 GARDEN GROVE BLVD, SUITE 300
GARDEN GROVE, CA 92843

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 Chaewon Song's NPI number?

The NPI number for Chaewon Song is 1972589687. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Chaewon Song located?

Chaewon Song practices at 12665 Garden Grove Blvd Suite 503, Garden Grove, CA 92843. The listed phone number is (714) 530-3740.

What is Chaewon Song's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Chaewon Song enrolled in Medicare?

Yes. Chaewon 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.

Does Chaewon Song hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1063020) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chaewon Song was last updated on November 7, 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.