Tae Kyung Song, M.D.
NPI 1043407430ActiveIndividual· Surgery, Vascular Surgery· Stanford, CA
Surgery, Vascular Surgery (M.D.) in Stanford, California, trained at University of Vermont College of Medicine (class of 2001). 22 Medicare patients in 2024, $11,148 paid; nearly all of their 228 Part D prescriptions were generic (93%). W. L. Gore & Associates, Inc. was the largest of 3 companies reporting payments in 2025, $584.22 in all, mostly food and beverage.
Overview
| NPI | 1043407430 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 28, 2007 |
| Last updated in NPPES | Nov 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | A81297 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Vascular Surgery (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 62 across 34 procedure codes |
| Paid by Medicare | $11,148 |
Part D prescriptions in 2024
| Prescriptions (claims) | 228 · 311 30-day fills |
|---|---|
| Patients | 137 |
| Total drug cost | $8,249 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | University of Vermont College of Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Vascular Surgery |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Hospital affiliation
- Kaiser Foundation Hospital - South BayHarbor City, CA
Industry payments (Open Payments)
- 2025$584.22 · 17 payments from 3 companies
- 2024$418.67 · 21 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| W. L. Gore & Associates, Inc. | $476.89 | 12 |
| Cook Medical LLC | $82.30 | 4 |
| Bolton Medical Inc | $25.03 | 1 |
What the 2025 payments were for
- Food and Beverage$584.22 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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