DR. DAVID SONG KO DO
NPI 1356720049
Family Medicine in Putnam, CT
About Dr. David Song Ko Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID SONG KO DO (NPI 1356720049) is an individual family medicine provider in Putnam, Connecticut, licensed in Virginia (0102205469) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Bridgton Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. David Song Ko Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show David Ko reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 496 clinicians in this Medicare group
Bridgton, ME 04009
- Reassigned Medicare billing, Maine enrollment
- 563 clinicians in this Medicare group
Richmond, VA 23224
- Reassigned Medicare billing, Virginia enrollment
- 31 clinicians in this Medicare group
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bridgton Hospital
Critical Access Hospitals · Bridgton, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PUTNAM, CT 06260
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 David Ko's NPI number?
The NPI number for David Ko is 1356720049. It was assigned to this individual provider in the NPPES registry on May 27, 2015.
Where is David Ko located?
David Ko practices at 330 Pomfret St, Putnam, CT 06260. The listed phone number is (860) 928-2736.
What is David Ko's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Ko enrolled in Medicare?
Yes. David 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.
Which organizations bill Medicare for David Ko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Ko reassigns Medicare benefits to 4 organizations: Prohealth Physicians PC (Farmington, CT), Bridgton Hospital (Bridgton, ME), Osh-Va Physicians Group PLLC (Richmond, VA) and University Of Virginia Physicians Group (Charlottesville, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Ko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Ko accept?
Health plans from Anthem Blue Cross and Blue Shield and PacificSource Health Plans list David Ko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is David Ko affiliated with any hospitals?
According to CMS data, David Ko is affiliated with Bridgton Hospital.
When was this NPI record last updated?
The NPPES record for David Ko was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. David Song Ko, DO · NPI 1356720049
Family Medicine physician in Putnam, Connecticut. Individual provider, active in the CMS NPPES registry since May 27, 2015.
## Identity
- **NPI:** 1356720049 (Entity type: Individual)
- **Enumerated:** May 27, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0102205469 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 330 POMFRET ST, Putnam, CT 06260-3803
- **Phone:** (860) 928-2736
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Prohealth Physicians PC (NPI 1720194053, Farmington, CT); Bridgton Hospital (NPI 1154370153, Bridgton, ME); Osh-Va Physicians Group PLLC (NPI 1346941424, Richmond, VA); University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356720049) · Data from the CMS NPPES public registry.