DR. CHARLES H SONG (M.D.) – Pediatric Allergy/Immunology Physician, NPI 1790792869
Pediatric Allergy/Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
521 ALLERGY/IMMUNOLOGY in CA
Provider Addresses for DR. CHARLES H SONG (M.D.)
400 S Sepulveda Blvd
SUITE 220
Manhattan Beach, CA 902666814
Phone: (310) 374-4481
Fax: (310) 374-4584
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
200 MEDICAL PLAZA SUITE 265
LOS ANGELES, CA 900956814
Phone: (310) 825-0867
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $2,062.
Total Amount is formed as General ($2,062) + Research ($0) + Ownership ($0) = $2,062.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($388).
Total Amount
$2,062
General + Research + Ownership
Payments
76
Total payment records
General Amount
$2,062
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $388 |
| GlaxoSmithKline, LLC. | $306 |
| GENZYME CORPORATION | $290 |
| Regeneron Healthcare Solutions, Inc. | $238 |
| Amgen Inc. | $230 |
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: 2004-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041117000562 | I | Allergy/Immunology | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,530 | 19 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 980 | 22 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 292 | 36 | $0 |
| 95117 | Professional service for multiple injections of allergen | 273 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 48 | $0 |
Insurance plans in this area (ZIP 90266)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Allergy/Immunology, Internal Medicine | CA |
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