Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jimmy Song, PA-C

Individual provider Physician Assistant · NPI 1689400848

Jimmy Song, PA-C is a Physician Assistant in Lone Tree, Colorado. Qualified in 2024, 2 years ago. Practices with Rocky Mountain Gastroenterology Associates, PLLC, a 38-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
2
Licensed in
CO
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10535 Park Meadows Blvd Ste 301
Lone Tree, CO 80124-8456
Phone: (303) 662-8250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CO)

Record details

NPI number1689400848
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rocky Mountain Gastroenterology Associates, Pllc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $1,092 33 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • AdventHealth Littleton Hospital · Littleton, CO

Colleagues at Rocky Mountain Gastroenterology Associates, PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 38 clinicians in the practice; 12 are shown here.

Other providers in Lone Tree