MR. TIMOTHY ALLEN KO RPA-C
NPI 1164757258
Physician Assistant in Syracuse, NY

Active since October 07, 2009PECOS EnrolledAccepts Medicare Assignment
739 IRVING AVE, SUITE 600, SYRACUSE, NY 13210(315) 701-2550(315) 701-2551 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2021, Oct 17, 2016 (2 updates tracked since 2016).

About Mr. Timothy Allen Ko Rpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY ALLEN KO RPA-C (NPI 1164757258) is an individual physician assistant in Syracuse, New York, licensed in New York (013607) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1164757258
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY ALLEN KOCredential: RPA-C
Location Address739 IRVING AVE, SUITE 600Syracuse, NY 13210-1651
Mailing Address1001 W Fayette St, Suite 400Syracuse, NY 13204-2859 · (315) 472-1466 · Fax (315) 470-8060
Fax(315) 701-2551
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 7, 2009
Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
NPI 1164757258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 013607
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

739 IRVING AVE, Syracuse, NY 13210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Timothy Allen Ko Rpa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123166030
PECOS Enrollment IDI20091113000412, I20260122004336
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
739 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Internal Medicine
739 IRVING AVE, STE 200
SYRACUSE, NY 13210
Nurse Practitioner (Family)
739 IRVING AVE, SUITE 400
SYRACUSE, NY 13210
Internal Medicine
739 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Clinical Medical Laboratory
739 IRVING AVE, SUITE 350
SYRACUSE, NY 13210
Internal Medicine (Gastroenterology)
739 IRVING AVE, SUITE 400
SYRACUSE, NY 13210
Obstetrics & Gynecology
739 IRVING AVE, SUITE 530
SYRACUSE, NY 13210
Surgery
739 IRVING AVE, STE 450
SYRACUSE, NY 13210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Ko's NPI number?

The NPI number for Timothy Ko is 1164757258. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Where is Timothy Ko located?

Timothy Ko practices at 739 Irving Ave Suite 600, Syracuse, NY 13210. The listed phone number is (315) 701-2550.

What is Timothy Ko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Ko enrolled in Medicare?

Yes. Timothy Ko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Timothy Ko affiliated with any hospitals?

According to CMS data, Timothy Ko is affiliated with Crouse Hospital and Cookeville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Ko was last updated on March 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.