KEVIN JO (M.D.) – Gastroenterology Physician, NPI 1003823683

KEVIN JO (M.D.) is a healthcare provider. based in Rocky hill, Connecticut. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 239729 (NY). The NPI Number for KEVIN JO (M.D.) is 1003823683

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN JO (M.D.)
NPI
1003823683
Phone
(860) 257-4131
Address
2139 SILAS DEANE HWY # H
Enumeration Date
3 August 2006
Last Update Date
1 June 2012

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8606216284
Graduation Year
1999 (27 years ago)
PAC ID
7517013337
Group Practice PAC ID
9830110758
Professional Enrollment ID
I20120417000609
Address ID
CT064893235SO55XXXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

401 GASTROENTEROLOGY in CT

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Provider Addresses for KEVIN JO (M.D.)

  • Silas Deane Highway, Rocky Hill, Capitol Planning Region, Connecticut, 06067, United States

    ROCKY HILL, CT 060672336

    Phone: (860) 257-4131

    Fax: (860) 257-4519

    Type: Mailing

  • 455, Lewis Avenue, Meriden, New Haven County, Connecticut, 06451, United States

    SUITE 106

    MERIDEN, CT 064512121

    Phone: (203) 886-0036

    Fax: (203) 886-0072

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $1,451.

Total Amount is formed as General ($1,451) + Research ($0) + Ownership ($0) = $1,451.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($351).

Total Amount

$1,451

General + Research + Ownership

Payments

69

Total payment records

General Amount

$1,451

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120417000609IGastroenterologyCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45380Biopsy of large bowel using a flexible endoscope8686$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope7371$0
99214Established patient office or other outpatient visit, 30-39 minutes6557$0
99213Established patient office or other outpatient visit, 20-29 minutes3430$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3333$0
View full utilization report →

Insurance plans in this area (ZIP 06067)

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Provider's Procedures

KEVIN JO (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYCT43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2828
GASTROENTEROLOGYCT45378Diagnostic examination of large bowel using an endoscope2323
GASTROENTEROLOGYCT45385Removal of polyps or growths of large bowel using an endoscope3737

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830110758View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CT
-NY
Nurse PractitionerCT
Certified Registered Nurse Anesthetist (Crna)NY
G A S T R O E N T E R O L O G YCT
P A T H O L O G YWA
Internal Medicine, GastroenterologyCT
Physician AssistantCT
Certified Registered Nurse Anesthetist (Crna)CT
Physician AssistantCT

Reviews

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Frequently asked questions

What is the registry number for KEVIN JO (M.D.)?
The registry entry for KEVIN JO (M.D.) shows NPI 1003823683.
Is KEVIN JO (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists KEVIN JO (M.D.) as active.
What type of care does KEVIN JO (M.D.) provide?
KEVIN JO (M.D.)'s profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KEVIN JO (M.D.)?
KEVIN JO (M.D.) shows a connection to Rocky Hill, Connecticut in registry-derived data.
Who maintains KEVIN JO (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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