DR. SEOKHAN SONG (D.O., M.S.) – Family Medicine Physician, NPI 1194163170
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for DR. SEOKHAN SONG (D.O., M.S.)
124 SHUMARD CT
STEPHENS CITY, VA 226554062
Phone: (703) 509-3735
Type: Mailing
140 W 11TH ST
FRONT ROYAL, VA 226303512
Phone: (540) 636-2028
Type: Location
504 N 9TH AVE
VINTON, IA 523492254
Phone: (319) 472-6300
Type: Mailing
14678 N DEL WEBB BLVD
SUN CITY, AZ 853512137
Phone: (623) 933-8289
Fax: (623) 933-2596
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $932.
Total Amount is formed as General ($932) + Research ($0) + Ownership ($0) = $932.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($142).
Total Amount
$932
General + Research + Ownership
Payments
51
Total payment records
General Amount
$932
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-09-17
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 |
|---|---|---|---|---|
| I20151028000329 | I | Family Practice | VA | TBD |
| I20210526000708 | I | Family Practice | IA | TBD |
| I20250917000775 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Emergency Medicine, Family Practice | IA | |
| Physician Assistant | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Family Practice | IA | |
| - | IA |
Reviews
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