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STACEY L KO PA-C
NPI 1821059692
Physician Assistant in Cottage Grove, MN

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
7500 80TH ST S, SUITE 100 - MS 34624A, HEALTHPARTNERS COTTAGE GROVE CLINIC, COTTAGE GROVE, MN 55016(651) 415-4100(651) 415-4101 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2021, Nov 18, 2020 (2 updates tracked since 2020).

About Stacey L Ko Pa-c NPPES

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

STACEY L KO PA-C (NPI 1821059692) is an individual physician assistant in Cottage Grove, Minnesota, licensed in Minnesota (9655) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Cambridge Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1821059692
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY L KOCredential: PA-C
Location Address7500 80TH ST S, SUITE 100 - MS 34624A, HEALTHPARTNERS COTTAGE GROVE CLINICCottage Grove, MN 55016-3008
Mailing Address8170 33rd Ave S, Ms21110qMinneapolis, MN 55425-4516 · (952) 883-5375 · Fax (651) 415-4101
Phone(651) 415-4100
Fax(651) 415-4101
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 31, 2006
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1821059692 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 MN · 9655
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.
7500 80TH ST S, SUITE 100 - MS 34624A, Cottage Grove, MN 55016
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Other Identifiers 1

Medicaid150112700MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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

Stacey L Ko Pa-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 ID6002952736
PECOS Enrollment IDI20091009000062
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 6

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.

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.
174 services150 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.
143 services134 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
31 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services19 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Cambridge Medical Center

Acute Care Hospitals · Cambridge, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240020
Location701 South Dellwood AvenueCambridge, MN 55008 · Isanti County
Emergency services

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55016 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
28 suppliers471 claims471 services$32.83 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
17 suppliers218 claims218 services$73.11 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
19 suppliers207 claims571 services$26.82 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers223 claims1,251 services$13.62 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
15 suppliers141 claims783 services$12.20 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
25 suppliers401 claims401 services$42.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Stacey Ko's NPI number?

The NPI number for Stacey Ko is 1821059692. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Stacey Ko located?

Stacey Ko practices at 7500 80th St S, Suite 100 - Ms 34624A Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016. The listed phone number is (651) 415-4100.

What is Stacey Ko's specialty?

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

Is Stacey Ko enrolled in Medicare?

Yes. Stacey 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.

What insurance does Stacey Ko accept?

Health plans from HealthPartners and Medica list Stacey 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 Stacey Ko affiliated with any hospitals?

According to CMS data, Stacey Ko is affiliated with Cambridge Medical Center and Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Ko was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.