Active NPI 1811096936 Individual Practitioner Male Practitioner

Dr. Sung-Tao Ko , MD

Surgery • Lombard, IL

Professional Overview & Biography Verified Profile Summary

Dr. Sung-Tao Ko, MD is a registered healthcare professional specializing in Surgery in Lombard, IL. Practice services are available at 130 S MAIN ST STE 306 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

130 S Main St Ste 306

Lombard, IL 601482670

Telephone 6306206040

Fax 6306206143

Associated Practice Facility / Clinic

🏢 Ko Surgical Associates P.c Facility NPI 1225137359

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lombard, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Lombard, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$198.67	$84.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	42	$193.00	$81.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	39	$288.00	$117.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$321.00	$137.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1257.00	$98.40
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	11	11	$54.00	$13.15
45380 Biopsy of large bowel using an endoscope	11	11	$1496.00	$138.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	46	$197.52	$79.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$288.00	$113.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$321.00	$129.32
45380 Biopsy of large bowel using an endoscope	26	25	$1496.00	$193.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1257.00	$99.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	42	$193.00	$79.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	36	$288.00	$110.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$321.00	$129.66
45380 Biopsy of large bowel using an endoscope	23	23	$1496.00	$168.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1257.00	$97.97

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036-045253

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036-045253 (IL)

Commercial Insurance / Payer ID Blue Cross

0002215295 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 130 S MAIN ST STE 306, LOMBARD, IL 601482670 (Tel: 6306206040)

📍

Updated Business Mailing Address July 08, 2007

Registered at 130 S MAIN ST STE 306, LOMBARD, IL 601482670 (Tel: 6306206040)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SUNG-TAO KO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #036-045253 in IL)

🟢

Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811096936

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 22, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

130 S Main St Ste 306

Lombard, IL 601482670

Phone: 6306206040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.