DR. JIANMING SONG (M.D.) – Family Medicine Physician, NPI 1073702817
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for DR. JIANMING SONG (M.D.)
600 Ranch Rd
Lower Umpqua Hospital
Reedsport, OR 974671720
Phone: (541) 271-2171
Fax: (541) 271-4058
Type: Location
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 339-5422
Fax: (425) 339-5444
Type: Mailing
Gunderson Building, 3927, Rucker Avenue, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 982014833
Phone: (425) 339-5422
Fax: (423) 339-5444
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: 2016-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080110000537 | I | Family Practice | OR | TBD |
| I20160512002034 | I | Family Practice | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97467)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine, Osteopathic Manipulative Medicine, Hospitalist, Family Practice | ID | |
| Nurse Practitioner | OR | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| D E R M A T O L O G Y | NC | |
| Family Practice | AZ | |
| Nurse Practitioner | OR | |
| Family Practice | OR | |
| Family Practice | OR | |
| General Surgery | UT | |
| Nurse Practitioner | AL |
Reviews
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