DR. HANJOON MIKE SONG (MD) – Plastic Surgery Physician, NPI 1063502375
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 PLASTIC AND RECONSTRUCTIVE SURGERY in GA
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Provider Addresses for DR. HANJOON MIKE SONG (MD)
Peachtree Industrial Boulevard, Duluth, Gwinnett County, Georgia, 30097, United States
DULUTH, GA 30097
Phone: (770) 495-1477
Fax: (770) 495-1488
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $1,270.
Total Amount is formed as General ($1,270) + Research ($0) + Ownership ($0) = $1,270.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,082).
Total Amount
$1,270
General + Research + Ownership
Payments
41
Total payment records
General Amount
$1,270
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,082 |
| Mentor Worldwide LLC | $83 |
| Galderma Laboratories, L.P. | $36 |
| Baxter Healthcare | $25 |
| Integra LifeSciences Corporation | $24 |
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: 2008-06-04
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 |
|---|---|---|---|---|
| I20080604000339 | I | Plastic And Reconstructive Surgery | GA | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 29 | 16 | $0 |
Insurance plans in this area (ZIP 30097)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | AL | |
| - | GA | |
| Plastic And Reconstructive Surgery | GA | |
| - | GA |
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