BRENTON JAY SEUNG HOON SONG (DO) – Psychiatry Physician, NPI 1184117004
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,871 PSYCHIATRY in PA
Provider Addresses for BRENTON JAY SEUNG HOON SONG (DO)
1 LECOM PL
ERIE, PA 165052571
Phone: (814) 868-2529
Fax: (814) 868-2522
Type: Mailing
4740 PEACH ST
ERIE, PA 165092008
Phone: (814) 454-3174
Fax: (814) 616-8002
Type: Location
4402 HAMMOCKS DR APT 406
ERIE, PA 165067403
Phone: (925) 570-1518
Type: Mailing
537 W 18th St
Erie, PA 165021722
Phone: (814) 454-3174
Fax: (814) 616-8002
Type: Location
Millcreek Community Hospital, 5515, Peach Street, Kearsarge, Millcreek Township, Erie County, Pennsylvania, 16509, United States
ERIE, PA 165092695
Phone: (814) 864-4031
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,234.
Total Amount is formed as General ($1,234) + Research ($0) + Ownership ($0) = $1,234.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($339).
Total Amount
$1,234
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $339 |
| Corium, LLC | $236 |
| ABBVIE INC. | $170 |
| Supernus Pharmaceuticals, Inc. | $115 |
| Axsome Therapeutics, Inc. | $70 |
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: 2023-06-13
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 |
|---|---|---|---|---|
| I20230613000740 | I | Psychiatry | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 30 | $0 |
Insurance plans in this area (ZIP 16505)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice | PA | |
| O P H T H A L M O L O G Y | PA | |
| P S Y C H I A T R Y | PA | |
| Family Practice | PA | |
| P O D I A T R Y | PA | |
| - | PA | |
| P S Y C H I A T R Y | PA | |
| P S Y C H I A T R Y | PA | |
| Physician Assistant | PA |
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