DR. BENJAMIN J SONG (MD) – Allergy & Immunology Physician, NPI 1750362034
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 PEDIATRIC MEDICINE in MI
Provider Addresses for DR. BENJAMIN J SONG (MD)
4350 JACKSON RD STE 260
ANN ARBOR, MI 481031889
Phone: (734) 434-3007
Fax: (734) 434-6317
Type: Mailing
2000 N HURON RIVER DR STE 200
YPSILANTI, MI 48197
Phone: (734) 434-3007
Fax: (734) 434-6317
Type: Location
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $17 |
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: 2004-09-17
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 |
|---|---|---|---|---|
| I20040917000212 | I | Pediatric Medicine | MI | 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 | 1,758 | 38 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 475 | 31 | $0 |
| 95117 | Professional service for multiple injections of allergen | 315 | 50 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 105 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 58 | $0 |
Insurance plans in this area (ZIP 48103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | MI | |
| Allergy/Immunology, Pediatric Medicine | MI | |
| A L L E R G Y/ I M M U N O L O G Y | MI | |
| Allergy/Immunology, Internal Medicine | MI | |
| Pediatric Medicine, Allergy/Immunology | MI |
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