DR. ALAN S. W. SONG (MD) – MOHS-Micrographic Surgery Physician, NPI 1174624019

DR. ALAN S. W. SONG (MD) is a healthcare provider. based in Wailuku, Hawaii. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. MD-5585 (HI). The NPI Number for DR. ALAN S. W. SONG (MD) is 1174624019

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALAN S. W. SONG (MD)
NPI
1174624019
Phone
(808) 243-6000
Address
80 MAHALANI ST
Enumeration Date
25 September 2006
Last Update Date
25 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
8088743444
Graduation Year
1985 (41 years ago)
PAC ID
0941476394
Group Practice PAC ID
3173892809
Professional Enrollment ID
I20120105000893
Address ID
HI967536945KI1300XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

46 OTOLARYNGOLOGY in HI

Provider Addresses for DR. ALAN S. W. SONG (MD)

  • 80 MAHALANI ST

    WAILUKU, HI 967932531

    Phone: (808) 243-6000

    Type: Mailing

  • 80 Mahalani St

    Wailuku, HI 967932531

    Phone: (808) 243-6000

    Type: Location

  • North Holopono Street, Kihei, Maui County, Hawaii, 96753-7801, United States

    KIHEI, HI 967536945

    Phone: (808) 874-3444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-02-13 • Largest payer in this snapshot: Lilly USA, LLC ($24).

Total Amount

$70

General + Research + Ownership

Payments

3

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-13

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: 2012-01-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120105000893IOtolaryngologyHITBD

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
11602Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm6956$0
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm6456$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks6453$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm3534$0
13101Complicated repair of wound of trunk, 2.6-7.5 cm3535$0
View full utilization report →

Insurance plans in this area (ZIP 96793)

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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: 3173892809View full group profile
NameSpecialtyState
D E R M A T O L O G YHI
Physician AssistantHI
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What NPI should I save for DR. ALAN S. W. SONG (MD)?
Save NPI 1174624019 if you need a stable reference for DR. ALAN S. W. SONG (MD).
Is DR. ALAN S. W. SONG (MD) currently active in the NPI registry?
CMS-published data lists DR. ALAN S. W. SONG (MD) as an active registrant.
What does DR. ALAN S. W. SONG (MD) treat or focus on?
Patients typically see DR. ALAN S. W. SONG (MD) under the specialty MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. ALAN S. W. SONG (MD)?
We surface Wailuku, Hawaii for DR. ALAN S. W. SONG (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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