DR. EDWARD W SONG (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1518947530
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
662 ORTHOPEDIC SURGERY in AZ
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Provider Addresses for DR. EDWARD W SONG (M.D.)
PO BOX 271429
SALT LAKE CITY, UT 841271429
Phone: (602) 772-3800
Fax: (602) 772-3801
Type: Mailing
2940, East Banner Gateway Drive, Higley Marketplace, Gilbert, Maricopa County, Arizona, 85234, United States
SUITE 200
GILBERT, AZ 852342168
Phone: (480) 964-2908
Fax: (480) 833-2136
Type: Location
PO BOX 80217
PHOENIX, AZ 850600217
Phone: (602) 385-2115
Fax: (480) 418-3323
Type: Mailing
1675 E MELROSE ST STE 101-103
GILBERT, AZ 852971001
Phone: (602) 648-5444
Fax: (602) 772-3801
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $14,694.
Total Amount is formed as General ($14,694) + Research ($0) + Ownership ($0) = $14,694.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Nexxt Spine LLC ($11,263).
Total Amount
$14,694
General + Research + Ownership
Payments
20
Total payment records
General Amount
$14,694
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nexxt Spine LLC | $11,263 |
| SPINEART USA INC | $1,480 |
| Spineart USA Inc | $1,289 |
| Abbott Laboratories | $237 |
| Nevro Corp. | $155 |
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: 2005-05-23
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 |
|---|---|---|---|---|
| I20050523001334 | I | Orthopedic Surgery | AZ | 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 | 498 | 357 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 242 | 203 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 197 | 195 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 147 | 143 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 120 | 67 | $0 |
Insurance plans in this area (ZIP 84127)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | AZ | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 25 | 24 |
| ORTHOPEDIC SURGERY | AZ | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 19 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AZ | |
| Physician Assistant | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Orthopedic Surgery | UT | |
| Physician Assistant | AZ | |
| Physical Therapist In Private Practice | MT | |
| Physical Therapist In Private Practice | IL | |
| - | AZ | |
| - | AZ | |
| Physical Therapist In Private Practice | UT |
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