COUNTY LINE MEDICAL SERVICE INC
NPI 1538199773
Family Medicine in Chaparral, NM
About County Line Medical Service Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTY LINE MEDICAL SERVICE INC (NPI 1538199773) is a healthcare organization registered as a family medicine in Chaparral, New Mexico and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through September 2, 2027 and lists Kyong Yol Ko, Md / President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
County Line Medical Service Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to County Line Medical Service Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D1057255
County Line Medical Service Inc · Chaparral, NMFrequently 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 County Line Medical Service Inc's NPI number?
The NPI number for County Line Medical Service Inc is 1538199773. It was assigned to this organization in the NPPES registry on July 4, 2006.
Where is County Line Medical Service Inc located?
County Line Medical Service Inc is located at 545 S County Line Dr Spc A, Chaparral, NM 88081. The listed phone number is (575) 824-5007.
What is County Line Medical Service Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is County Line Medical Service Inc enrolled in Medicare?
Yes. County Line Medical Service Inc is registered in the Medicare PECOS enrollment system.
When is County Line Medical Service Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through County Line Medical Service Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to County Line Medical Service Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does County Line Medical Service Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D1057255) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for County Line Medical Service Inc was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# County Line Medical Service Inc · NPI 1538199773
Family Medicine organization in Chaparral, New Mexico. Organization record, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1538199773 (Entity type: Organization)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kyong Ko, MD / PRESIDENT
## Practice location
- **Address:** 545 S COUNTY LINE DR SPC A, Chaparral, NM 88081-7802
- **Phone:** (575) 824-5007
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2013
- **Other identifiers:** Other DF0606; Medicaid 40725391 (NM); Medicare PIN 800521178 (NM)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538199773) · Data from the CMS NPPES public registry.