SONG QING ZHAO (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1912944752
Anatomic Pathology & Clinical Pathology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
311 PATHOLOGY in IN
Provider Addresses for SONG QING ZHAO (MD)
5700 SOUTHWYCK BLVD
TOLEDO, OH 436141509
Phone: (800) 288-8325
Fax: (419) 866-5453
Type: Mailing
8701 BROADWAY
MERRILLVILLE, IN 464107035
Phone: (219) 738-5500
Fax: (219) 738-6628
Type: Location
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9146
Fax: (920) 684-1439
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2024-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20180719000951 | I | Pathology | IN | TBD |
| I20180803002612 | I | Pathology | IL | TBD |
| I20241223000226 | I | Pathology | FL | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,362 | 924 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 420 | 138 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 279 | 216 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 266 | 132 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 125 | 116 | $0 |
Insurance plans in this area (ZIP 43614)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | WI | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 39 | 39 |
| PATHOLOGY | WI | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 55 | 35 |
| PATHOLOGY | WI | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 308 | 205 |
| PATHOLOGY | WI | 88342 | Tissue or cell analysis by immunologic technique | 336 | 267 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | MD | |
| - | IN | |
| P A T H O L O G Y | OH | |
| - | IN | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | IA | |
| P A T H O L O G Y | IN | |
| - | IN |
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