TOMMY K KO M.D.
NPI 1881665081
Internal Medicine - Pulmonary Disease in Kansas City, MO

Q: What is Tommy Ko's NPI number?

The NPI number for Tommy Ko is 1881665081. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Tommy Ko's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Tommy Ko was last updated on February 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment

77.31/100

CMS Quality Rating

1004 CARONDELET DR STE 300, KANSAS CITY, MO 64114(816) 942-4500(816) 941-4504 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 16, 2022, Dec 6, 2021, Feb 10, 2021 and 3 more (6 updates tracked since 2019).

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About Tommy K Ko M.d. NPPES

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

TOMMY K KO M.D. (NPI 1881665081) is an individual pulmonary disease provider in Kansas City, Missouri, licensed in Missouri (R2K66) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Golden Valley Memorial Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1987).

NPPES Registry Identity

NPI1881665081

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameTOMMY K KOCredential: M.D.

Location Address1004 CARONDELET DR STE 300Kansas City, MO 64114-4858

Mailing Address1004 Carondelet Dr Ste 300Kansas City, MO 64114-4858 · (816) 942-4500 · Fax (816) 941-4504

Phone(816) 942-4500

Fax(816) 941-4504

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1987

Enumeration DateJanuary 27, 2006

Last NPPES UpdateFebruary 16, 20226 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1881665081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in MO · R2K66✔ Licensed in KS · 04-27564

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License R2K66 (MO)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License R2K66 (MO)

1004 CARONDELET DR STE 300, Kansas City, MO 64114

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Other Identifiers 2

Medicaid100126160DKS

Medicaid202937827MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, UnitedHealthcare.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

Tommy K Ko M.d. 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 ID840204319

PECOS Enrollment IDI20101104001026

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 7

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.

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

60 services60 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

58 services58 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.

50 services35 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

48 services48 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.

39 services39 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

23 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Golden Valley Memorial Hospital

Acute Care Hospitals · Clinton, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260175

Location1600 N 2nd StClinton, MO 64735 · Henry County

Emergency services Birthing friendly

Cass Regional Medical Center

Critical Access Hospitals · Harrisonville, MO

OwnershipGovernment - Local

CMS Certification Number261324

Location2800 E Rock Haven RoadHarrisonville, MO 64701 · Cass County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64114 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

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

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.

77.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.51

Promoting Interoperability

Improvement Activities

Cost

53.7

Referred Medical Equipment & Supplies CMS DME claims 24

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

8 suppliers43 claims43 services$31.00 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers16 claims35 services$1.21 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

16 suppliers91 claims91 services$69.33 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

15 suppliers89 claims243 services$27.38 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

9 suppliers64 claims363 services$15.26 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

8 suppliers29 claims154 services$12.90 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

12 suppliers99 claims99 services$45.06 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

16 suppliers112 claims112 services$14.64 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

16 suppliers127 claims127 services$10.51 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

17 suppliers170 claims986 services$1.68 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

12 suppliers37 claims37 services$5.47 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers77 claims77 services$10.78 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers27 claims27 services$15.48 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers26 claims26 services$882.34 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers14 claims14 services$128.03 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers39 claims44 services$11.26 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers33 claims45 services$6.12 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

10 suppliers134 claims138 services$30.66 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

12 suppliers115 claims117 services$64.91 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers44 claims44 services$30.26 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

4 suppliers20 claims1,230 services$4.30 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers13 claims3,375 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers49 claims5,940 services$0.09 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

7 suppliers52 claims52 services$22.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

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

KARLA L HOUSTON-GRAY MD

Internal Medicine

1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114

Jackson County (816) 942-4500

CHRISTOPHER SCOTT RIFFEL M.D.

Internal Medicine

1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114

Jackson County (816) 943-4700

HOPE LYNN BOYLE-JACOBS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114

Jackson County (816) 942-4500

DR. JANET M DUNN MD

Psychiatry & Neurology (Psychiatry)

1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114

Jackson County (816) 942-4500

TARIQ MUSA M.D.

Internal Medicine (Pulmonary Disease)

1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114

Jackson County (816) 942-4500

DR. SHIVANI REDDY SCHARF DO

Internal Medicine

1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114

Jackson County (816) 943-4700

MANISH MANDAVA MD

Internal Medicine

1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114

Jackson County (816) 943-4700

DR. DAFER M SAMARA MD

Internal Medicine (Critical Care Medicine)

1004 CARONDELET DR STE 300
KANSAS CITY, MO 64114

Jackson County (816) 942-4500

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 Tommy Ko's NPI number?

The NPI number for Tommy Ko is 1881665081. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Tommy Ko located?

Tommy Ko practices at 1004 Carondelet Dr Ste 300, Kansas City, MO 64114. The listed phone number is (816) 942-4500.

What is Tommy Ko's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Tommy Ko enrolled in Medicare?

Yes. Tommy 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 Tommy Ko accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Tommy 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 Tommy Ko affiliated with any hospitals?

According to CMS data, Tommy Ko is affiliated with Golden Valley Memorial Hospital and Cass Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tommy Ko was last updated on February 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.