Jie Song, M.D.
NPI 1114223351ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Libertyville, IL
Pathology, Anatomic Pathology & Clinical Pathology (M.D.) with Community Care Network Inc and 4 other groups, practicing in Libertyville, Illinois. Medicare paid $74,165 for services to 996 patients in 2024.
Overview
| NPI | 1114223351 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Feb 6, 2011 |
| Last updated in NPPES | Apr 9, 2026 |
| Certified by provider | Apr 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 036.124312 | IL |
| Pathology, Dermatopathology | 207ZD0900X | 036.124312 | IL |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01069290A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (IL); Practitioner - Pathology (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 996 |
|---|---|
| Services billed | 1,699 across 7 procedure codes |
| Paid by Medicare | $74,165 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Pathology |
Medical groups
- Community Care Network IncMunster, IN · 379 clinicians
- Deerfield Dermatology Associates, Ltd.Gurnee, IL · 14 clinicians
- Basko Dermatology, LLCNaperville, IL · 9 clinicians
- Christina G Steil Dermatology LtdHinsdale, IL · 7 clinicians
- Skin Dermatology, LLCMunster, IN · 5 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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