MI-KYOUNG SONG (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1619962131

MI-KYOUNG SONG (M.D.) is a healthcare provider. based in Palm desert, California. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. MD207140 (OR). The NPI Number for MI-KYOUNG SONG (M.D.) is 1619962131

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MI-KYOUNG SONG (M.D.)
NPI
1619962131
Phone
(760) 779-0800
Address
44139 MONTEREY AVE STE A
Enumeration Date
12 September 2005
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8008132000
Graduation Year
1994 (32 years ago)
PAC ID
6103965314
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20220310001203
Address ID
OR973069427SA5125XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,665 OPHTHALMOLOGY in CA

Provider Addresses for MI-KYOUNG SONG (M.D.)

  • 44139 MONTEREY AVE STE A

    PALM DESERT, CA 922608700

    Phone: (760) 779-0800

    Type: Location

  • 100, East California Boulevard, Pasadena Council District 6, Pasadena, Los Angeles County, California, 91105, United States

    PASADENA, CA 911053205

    Phone: (800) 898-2020

    Fax: (844) 897-3788

    Type: Mailing

  • 5125 SKYLINE RD S

    SALEM, OR 973069413

    Phone: (503) 361-5400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($135).

Total Amount

$135

General + Research + Ownership

Payments

1

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220310001203IOphthalmologyORTBD
I20220311001233IOphthalmologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92134Imaging of retina4511$0
View full utilization report →

Insurance plans in this area (ZIP 92260)

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Provider's Procedures

MI-KYOUNG SONG (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYNM92012Eye and medical examination for diagnosis and treatment, established patient1243644
OPHTHALMOLOGYNM92083Measurement of field of vision during daylight conditions3724

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

Does MI-KYOUNG SONG (M.D.) have a public NPI I can cite?
Public records show MI-KYOUNG SONG (M.D.) under NPI 1619962131.
Is MI-KYOUNG SONG (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MI-KYOUNG SONG (M.D.) as active.
Which specialty label fits MI-KYOUNG SONG (M.D.)?
NPPES ties MI-KYOUNG SONG (M.D.) to Retina Specialist (Ophthalmology) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MI-KYOUNG SONG (M.D.)?
The directory associates MI-KYOUNG SONG (M.D.) with Palm Desert, California. Check all listed addresses for suites or satellite offices.
Can I export MI-KYOUNG SONG (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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