MARK KO (PA-C) – Surgical Physician Assistant, NPI 1982589321

MARK KO (PA-C) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9120851 (FL). The NPI Number for MARK KO (PA-C) is 1982589321

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
MARK KO (PA-C)
NPI
1982589321
Phone
(321) 843-5851
Address
13564 Village Park Dr Unit 150
Enumeration Date
6 August 2025
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218435851
Graduation Year
2025 (1 year ago)
PAC ID
8022504182
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20251229002084
Address ID
FL347149656CL16966BLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MARK KO (PA-C)

  • 13564 Village Park Dr Unit 150

    Orlando, FL 328377765

    Phone: (321) 843-5851

    Fax: (321) 842-7451

    Type: Location

  • 16966 CAGAN RIDGE BLVD STE 220

    CLERMONT, FL 347149656

    Phone: (407) 347-2979

    Fax: (321) 843-1673

    Type: Mailing

  • 6027 Arbor Watch Loop

    Orlando, FL 328297436

    Phone: (954) 383-4452

    Type: Location

  • 1600 Budinger Ave Ste C

    Saint Cloud, FL 347696005

    Phone: (321) 843-5851

    Fax: (407) 599-1691

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-12-29

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
I20251229002084IPhysician AssistantFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32837)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

Can I use this page to confirm MARK KO (PA-C)'s NPI?
Yes. MARK KO (PA-C) is listed with NPI 1982589321 in the public NPI dataset.
Does the file indicate MARK KO (PA-C) is practicing under active NPI?
Directory data currently reports MARK KO (PA-C) as active.
What taxonomy line describes MARK KO (PA-C)?
For research purposes, treat MARK KO (PA-C) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does MARK KO (PA-C) serve?
MARK KO (PA-C)'s listing highlights Orlando, Florida; more addresses can appear in NPPES.
Is the information about MARK KO (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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