TAK MING KO (MD) – Surgery Physician, NPI 1003995713
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
92 GENERAL SURGERY in AK
Provider Addresses for TAK MING KO (MD)
2480 S WOODWORTH LOOP
STE 180
PALMER, AK 996457408
Phone: (907) 373-8281
Fax: (855) 212-0736
Type: Mailing
2480 S WOODWORTH LOOP STE 180
PALMER, AK 996457408
Phone: (907) 373-8281
Fax: (855) 212-0736
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $68.
Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: TELA Bio, Inc. ($36).
Total Amount
$68
General + Research + Ownership
Payments
3
Total payment records
General Amount
$68
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TELA Bio, Inc. | $36 |
| Lilly USA, LLC | $16 |
| Solventum Corporation | $16 |
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: 2024-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100909000002 | I | General Surgery | AK | TBD |
| I20240411001259 | I | General Surgery | UT | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 23 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 20 | 17 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | 12 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 99645)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | UT | |
| Physician Assistant | UT | |
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| P A T H O L O G Y | IL | |
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Physician Assistant | UT | |
| Radiation Oncology, Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | CA |
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