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DR. DONNA MARIE KOCH D.O.
NPI 1083652853
Family Medicine in Garfield, NJ

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
297 PASSAIC STREET, GARFIELD, NJ 07026(973) 777-2293(973) 777-9117 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Donna Marie Koch D.o. NPPES

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

DR. DONNA MARIE KOCH D.O. (NPI 1083652853) is an individual family medicine provider in Garfield, New Jersey, licensed in New Jersey (MB069001) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1083652853
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONNA MARIE KOCHCredential: D.O.
Location Address297 PASSAIC STREETGarfield, NJ 07026
Mailing Address297 Passaic StreetGarfield, NJ 07026 · (973) 777-2293 · Fax (973) 777-9117
Phone(973) 777-2293
Fax(973) 777-9117
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJune 3, 2006
Last NPPES UpdateDecember 12, 2011
✔ NPI 1083652853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MB069001
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
297 PASSAIC STREET, Garfield, NJ 07026
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Other Identifiers 3

Medicare UPINH50032NJ
Medicare PIN051894NJ
Medicaid9081101NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donna Marie Koch D.o. 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 ID547560781
PECOS Enrollment IDI20160926000141
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donna Koch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart & Vascular Associates Of Northern Jersey, P.A.
3.7 mi
Specialist
22-18 BROADWAY, SUITE 201
Fair Lawn, NJ 07410
  • Reassigned Medicare billing, New Jersey enrollment
  • 43 clinicians in this Medicare group
NPI 1699889980 (201) 475-5050
Medical Associates Of Englewood, PC
7.1 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

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.
205 services72 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07026 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims52 services$5.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims22 services$0.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Donna Koch's NPI number?

The NPI number for Donna Koch is 1083652853. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Donna Koch located?

Donna Koch practices at 297 Passaic Street, Garfield, NJ 07026. The listed phone number is (973) 777-2293.

What is Donna Koch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donna Koch enrolled in Medicare?

Yes. Donna Koch 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.

Which organizations bill Medicare for Donna Koch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Koch reassigns Medicare benefits to 2 organizations: Heart & Vascular Associates Of Northern Jersey, P.A. (Fair Lawn, NJ) and Medical Associates Of Englewood, PC (Englewood, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donna Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Koch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Donna Koch 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 Donna Koch affiliated with any hospitals?

According to CMS data, Donna Koch is affiliated with Hackensack University Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Koch was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.