Timothy Ko (NPI# 1285847699, PAC ID# 7012009657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1285847699 |
| PAC ID by PECOS | 7012009657 |
| Professional Enrollment ID | I20070827000750 |
| Full Name | Timothy Ko |
| Organization Legal Name | TRI-STATE PAIN INSTITUTE LLC |
| Address |
870 W Main St Geneva OH 44041-1219 |
| Phone Number | 4404661171 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 2860563152 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 | 8148337246 | TRI-STATE PAIN INSTITUTE LLC |
| 870 W Main St, Geneva, OH 44041-1219 | 4404661171 | TRI-STATE PAIN INSTITUTE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% |
| Organization Legal Name | TRI-STATE PAIN INSTITUTE LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jung-woo Ma | Interventional Pain Management | Tri-state Pain Institute LLC | 612 W Smith St, Corry, PA 16407-1152 |
| Michael A Mahlon | Diagnostic Radiology | Tri-state Pain Institute LLC | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 |
| Brian Horgan | Physician Assistant | Tri-state Pain Institute LLC | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 |
| Joseph Martin Thomas | Interventional Pain Management | Tri-state Pain Institute LLC | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 |
| Harvey P Insler | Orthopedic Surgery | Tri-state Pain Institute LLC | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 |
| Aaron H Kleps | Physician Assistant | Tri-state Pain Institute LLC | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 |
| Heather Szymczak | Physician Assistant | Tri-state Pain Institute LLC | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 |
| William P Diefenbach | Neurosurgery | Tri-state Pain Institute LLC | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 |
| Diane M Feltmeyer | Physical Therapy | Tri-state Pain Institute LLC | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 |
| Glenn D Labrozzi | Physical Therapy | Tri-state Pain Institute LLC | 612 W Smith St, Corry, PA 16407-1152 |
| Street Address |
870 W MAIN ST |
| City | GENEVA |
| State | OH |
| Zip | 44041-1219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Kohanski | Nurse Practitioner | University Hospitals Medical Group Inc | 870 W Main St, Geneva, OH 44041-1219 |
| Kingman P Strohl | Pulmonary Disease | University Hospitals Medical Group Inc | 870 W Main St, Geneva, OH 44041-1219 |
| Michael Robert Primiano | Certified Registered Nurse Anesthetist (crna) | Safe Anesthesia Geneva LLC | 870 W Main St, Geneva, OH 44041-1219 |
| Susan Mayne | Nurse Practitioner | University Hospitals Medical Group Inc | 870 W Main St, Geneva, OH 44041-1219 |
| Jason A Stern | Hematology/oncology | University Primary Care Practices Inc | 870 W Main St, Geneva, OH 44041-1219 |
| David M Conger | Anesthesiology | University Hospitals Medical Group Inc | 870 W Main St, Geneva, OH 44041-1219 |
| Edward J Clark | Certified Registered Nurse Anesthetist (crna) | Safe Anesthesia Geneva LLC | 870 W Main St, Geneva, OH 44041-1219 |
| Janine M Brocone | Certified Registered Nurse Anesthetist (crna) | Safe Anesthesia Geneva LLC | 870 W Main St, Geneva, OH 44041-1219 |
| Vivian Mclaughlin | Certified Registered Nurse Anesthetist (crna) | Safe Anesthesia Geneva LLC | 870 W Main St, Geneva, OH 44041-1219 |
| Patrick T Stocker | Certified Registered Nurse Anesthetist (crna) | Safe Anesthesia Geneva LLC | 870 W Main St, Geneva, OH 44041-1219 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent B Cibella | Podiatry | 810 W Main St, Suite A, Geneva, OH 44041-1219 | |
| Ambrose A Chiang | Pulmonary Disease | University Hospitals Medical Group Inc | 870 W Main St, Geneva, OH 44041-1219 |
| Leslie Constanza Kuna | Certified Registered Nurse Anesthetist (crna) | Safe Anesthesia Geneva LLC | 870 W Main St, Geneva, OH 44041-1219 |
| Mark A Lang | Certified Registered Nurse Anesthetist (crna) | Safe Anesthesia Geneva LLC | 870 W Main St, Geneva, OH 44041-1219 |
| Eric Alan Harvester | Nurse Practitioner | University Hospitals Geneva Medical Center | 870 W Main St, Geneva, OH 44041-1219 |
| Mark D Bergman | Hematology/oncology | University Primary Care Practices Inc | 870 W Main St, Geneva, OH 44041-1219 |
| Margaret A Bobonich | Nurse Practitioner | University Hospitals Medical Group Inc | 870 W Main St, Geneva, OH 44041-1219 |
| Thomas C Mcmaster Ii | Certified Registered Nurse Anesthetist (crna) | Safe Anesthesia Geneva LLC | 870 W Main St, Geneva, OH 44041-1219 |
| Britney Ann Dobroka | Certified Registered Nurse Anesthetist (crna) | Safe Anesthesia Geneva LLC | 870 W Main St, Geneva, OH 44041-1219 |
| Sarah Stocker | Certified Registered Nurse Anesthetist (crna) | Safe Anesthesia Geneva LLC | 870 W Main St, Geneva, OH 44041-1219 |
| Find all physicians in zip 44041 | |||
| City | GENEVA |
| Zip Code | 44041 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | GENEVA + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Timothy Ko.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.