Timothy Yee-Tak Ko, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

35.087753 Issued in OH

Practice address

2374 Village Common Dr Ste 100
Erie, PA 16506-7201

Phone

(814) 833-7246

Fax

(814) 833-1147

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Pain Management

Education

Northeastern Ohio University College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Pain Management Group LLCGroup PAC ID 0143453670, 54 clinicians

Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351
• Edgewood Surgical Hospital Hospital, Transfer, PA, CCN 390307
• Akron General Medical Center Hospital, Akron, OH, CCN 360027
• Summa Health System Hospital, Akron, OH, CCN 360020
• Upmc Horizon Hospital, Greenville, PA, CCN 390178

Merit-based Incentive Payment System (MIPS)

Final score

75.6 of 100Reported as group

Quality

75.56

Improvement activities

40

Cost

59.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pain Management Group LLC

  • Pain Medicine Physician
  • Findlay, OH
  • NPI 1063831303

  PA

  Medicare reassignment Care Compare group NPD
• Tri-State Pain Institute LLC

  • Interventional Pain Medicine Physician
  • Erie, PA
  • NPI 1215106323
  Medicare reassignment NPD
• Crystal Clinic Orthopaedic Center LLC

  • Special Hospital
  • Akron, OH
  • NPI 1669669917

  Interventional Pain Medicine

  Medicare reassignment NPD
• Crystal Clinic Orthopaedic Center LLC

  • Special Hospital
  • Akron, OH
  • NPI 1811651508
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Surgery Center at Edgewood Place, LLC

  • General Acute Care Hospital
  • Transfer, PA
  • NPI 1659392595
  Care Compare affiliation
• Surgery Center of Edgewood Place, LLC

  • Ambulatory Surgical Clinic/Center
  • New Castle, PA
  • NPI 1780919043

  Hospital

  Care Compare affiliation
• Upmc Horizon

  • General Acute Care Hospital
  • Greenville, PA
  • NPI 1225048838
  Care Compare affiliation
• Upmc Horizon

  • Ambulatory Surgical Clinic/Center
  • Greenville, PA
  • NPI 1952465890

  Hospital

  Care Compare affiliation
• Akron General Medical Center

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1821035940
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center LLC

  • Special Hospital
  • Akron, OH
  • NPI 1669669917
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Akron, OH
  • NPI 1053558056
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Barberton, OH
  • NPI 1134602808
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Akron, OH
  • NPI 1265678882
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Canton, OH
  • NPI 1366002321
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Cuyahoga Falls, OH
  • NPI 1427294131
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Barberton, OH
  • NPI 1477799179
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1285847699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 VILLAGE COMMON DR STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165067201",
            "telephone_number": "814-833-7246",
            "fax_number": "814-833-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 VILLAGE COMMON DR STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165067201",
            "telephone_number": "814-833-7246",
            "fax_number": "814-833-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "TIMOTHY",
        "middle_name": "YEE-TAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD462767",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35.087753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023171040002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2769311",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "003665938",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Knight Jr., LMHC
• Nicole Knight, MA, LPC
• Michael Knoll, DO
• Emily Knotowicz
• Ryann Knox, OTR/L M.S.
• Bruce Daniel Kobal, PH.D.
• Siobhan Kobal
• Ryan C Kobel, PT
• Ryan C Kobylinski, D.O.
• Matthew Koca

• Interventional Pain Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Interventional Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.