MARK KO PA-C
NPI 1982589321
Physician Assistant - Surgical in Clermont, FL

Q: What is Mark Ko's NPI number?

The NPI number for Mark Ko is 1982589321. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Q: What is Mark Ko's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Mark Ko was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since August 06, 2025PECOS EnrolledAccepts Medicare Assignment

16966 CAGAN RIDGE BLVD STE 220, CLERMONT, FL 34714(407) 347-2979(321) 843-1673 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mark Ko Pa-c NPPES

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

MARK KO PA-C (NPI 1982589321) is an individual surgical provider in Clermont, Florida, licensed in Florida (PA9120851) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1982589321

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMARK KOCredential: PA-C

Location Address16966 CAGAN RIDGE BLVD STE 220Clermont, FL 34714-9656

Mailing Address16966 Cagan Ridge Blvd Ste 220Clermont, FL 34714-9656 · (407) 347-2979 · Fax (321) 843-1673

Phone(407) 347-2979

Fax(321) 843-1673

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 6, 2025

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1982589321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9120851

Also ListedPhysician AssistantTaxonomy 363A00000X

16966 CAGAN RIDGE BLVD STE 220, Clermont, FL 34714

Open in Google Maps ↗

Secondary Practice Locations 3

Location 113564 Village Park Dr Unit 150Orlando, FL 32837-7765 · Phone (321) 843-5851 · Fax (321) 842-7451

Location 26027 Arbor Watch LoopOrlando, FL 32829-7436 · Phone (954) 383-4452

Location 31600 Budinger Ave Ste CSaint Cloud, FL 34769-6005 · Phone (321) 843-5851 · Fax (407) 599-1691

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

Mark 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 ID8022504182

PECOS Enrollment IDI20251229002084

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.

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

ERNESTO MARTELL POLO PA-C

Physician Assistant (Surgical)

16966 CAGAN RIDGE BLVD STE 220
CLERMONT, FL 34714

Lake County (321) 843-5851

JEANNINE CASTANEDA CALDERON PA-C

Physician Assistant (Medical)

16966 CAGAN RIDGE BLVD STE 220
CLERMONT, FL 34714

Lake County (321) 843-5851

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 Mark Ko's NPI number?

The NPI number for Mark Ko is 1982589321. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Mark Ko located?

Mark Ko practices at 16966 Cagan Ridge Blvd Ste 220, Clermont, FL 34714. The listed phone number is (407) 347-2979.

What is Mark Ko's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mark Ko enrolled in Medicare?

Yes. Mark 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.

Is Mark Ko affiliated with any hospitals?

According to CMS data, Mark Ko is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Mark Ko was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.