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YOOSUK KO DDS
NPI 1861915506
Dentist in Peoria, IL

Active since July 25, 2017PECOS Enrolled
1403 W GLEN AVE, PEORIA, IL 61614(888) 988-4066 Get Directions Write a Review

NPPES record last updated: July 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yoosuk Ko Dds NPPES

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

YOOSUK KO DDS (NPI 1861915506) is an individual dentist in Peoria, Illinois, licensed in Illinois (019031288) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861915506
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameYOOSUK KOCredential: DDS
Location Address1403 W GLEN AVEPeoria, IL 61614-4705
Mailing Address2050 E Algonquin Rd Ste 610Schaumburg, IL 60173-4166 · (888) 988-4066
Phone(888) 988-4066
Sole ProprietorNo
Enumeration DateJuly 25, 2017
✔ NPI 1861915506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019031288
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1403 W GLEN AVE, Peoria, IL 61614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yoosuk Ko Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 9

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

YASHODHAN GHODKE
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066
CLAUDIA YEAH DIBOUH NYOH-TABI STUDENT
Dentist (General Practice)
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (309) 692-4721
DR. MEGHANA GAHARWAR DDS
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066
MANGAYARKARASI MATHIYAZHAGAN DDS
Dentist (General Practice)
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066
VEERANDAR SINGH THAKUR
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (309) 692-4721
CHARLOTTE SUNAINA JAKKULA
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066
KHUSHBUBEN CHIMANLAL PATEL DDS
Dentist
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (309) 692-4721
FAMILIA DENTAL PEORIA 5 LLC
Dentist (General Practice)
1403 W GLEN AVE
PEORIA, IL 61614
Peoria County (888) 988-4066

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 Yoosuk Ko's NPI number?

The NPI number for Yoosuk Ko is 1861915506. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Yoosuk Ko located?

Yoosuk Ko practices at 1403 W Glen Ave, Peoria, IL 61614. The listed phone number is (888) 988-4066.

What is Yoosuk Ko's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Yoosuk Ko enrolled in Medicare?

Yes. Yoosuk Ko is registered in the Medicare PECOS enrollment system.

What insurance does Yoosuk Ko accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 10 other insurers list Yoosuk 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.

When was this NPI record last updated?

The NPPES record for Yoosuk Ko was last updated on July 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.