DR. SU MIN KO (M.D.) – Interventional Pain Medicine Physician, NPI 1336375450
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
224 PAIN MANAGEMENT in VA
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Provider Addresses for DR. SU MIN KO (M.D.)
Fairfax Boulevard, Lord Fairfax Estates, Fairfax, Fairfax (city), Virginia, 20121, United States
SUITE 105
FAIRFAX, VA 220305017
Phone: (703) 277-3360
Fax: (703) 277-3370
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $231.
Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Dexcom, Inc. ($134).
Total Amount
$231
General + Research + Ownership
Payments
2
Total payment records
General Amount
$231
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $134 |
| AstraZeneca Pharmaceuticals LP | $96 |
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: 2015-04-30
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 |
|---|---|---|---|---|
| I20121203000017 | I | Interventional Pain Management | DC | TBD |
| I20150430001588 | I | Physical Medicine And Rehabilitation | MD | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,745 | 207 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,369 | 210 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 755 | 259 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 452 | 214 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 430 | 203 | $0 |
Insurance plans in this area (ZIP 22030)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | VA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 165 | 116 |
Reviews
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