GUOQING SONG (PA-C) – Surgical Physician Assistant, NPI 1801247176
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for GUOQING SONG (PA-C)
2000 Lake Ave
Woodstock, IL 600987401
Phone: (815) 337-7100
Fax: (815) 337-4793
Type: Location
820 E Grant St
Appleton, WI 549113483
Phone: (920) 831-5050
Type: Location
Mercy Woodstock Medical Center, 2000, Lake Avenue, Woodstock, McHenry County, Illinois, 60098, United States
WOODSTOCK, IL 600987401
Phone: (815) 337-7100
Fax: (815) 337-4793
Type: Mailing
3 NEENAH CTR
NEENAH, WI 549563070
Phone: (920) 831-5050
Fax: (920) 738-6507
Type: Mailing
2400 E CAPITOL DR
APPLETON, WI 549118728
Phone: (920) 831-5050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-09-19
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 |
|---|---|---|---|---|
| I20170919004181 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 76 | 18 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 60 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 23 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 19 | 18 | $0 |
| 73564 | X-ray of knee, 4 or more views | 17 | 17 | $0 |
Insurance plans in this area (ZIP 60098)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 15 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Family Practice | WI | |
| - | FL | |
| Hospitalist, Internal Medicine | MI | |
| P S Y C H I A T R Y | WI | |
| - | WI | |
| - | WA | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI |
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