JAMES J KO MD
NPI 1376076786
Dermatology in Paoli, PA

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
92.29/100
CMS Quality Rating
4 INDUSTRIAL BLVD SUITE 200, PAOLI, PA 19301(610) 566-7111 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2023, Jun 17, 2021, Jul 13, 2018 (3 updates tracked since 2018).

About James J Ko Md NPPES

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

JAMES J KO MD (NPI 1376076786) is an individual dermatology provider in Paoli, Pennsylvania, licensed in Pennsylvania (MD474542) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2017).

NPPES Registry Identity

NPI1376076786
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJAMES J KOCredential: MD
Location Address4 INDUSTRIAL BLVD SUITE 200Paoli, PA 19301-1799
Mailing Address176 S. New Middletown Road Suite 203Media, PA 19063-1761 · (610) 566-7300
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateDecember 21, 20233 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
NPI 1376076786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD474542
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4 INDUSTRIAL BLVD SUITE 200, Paoli, PA 19301

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

James J Ko Md 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 ID4587939301
PECOS Enrollment IDI20210701003575
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 15

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,497 services202 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
555 services380 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
348 services249 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
173 services144 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
142 services103 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
137 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19301 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

92.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.85
Promoting Interoperability96
Improvement Activities40
Cost77.79

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 James Ko's NPI number?

The NPI number for James Ko is 1376076786. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is James Ko located?

James Ko practices at 4 Industrial Blvd Suite 200, Paoli, PA 19301. The listed phone number is (610) 566-7111.

What is James Ko's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is James Ko enrolled in Medicare?

Yes. James 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.

When was this NPI record last updated?

The NPPES record for James Ko was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.