DR. BRIAN D KOCH D.D.S. - NPI 1083767800 - Dentist in Green Bay, WI

Q: What is Brian Koch's NPI number?

The NPI number for Brian Koch is 1083767800. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Brian Koch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Brian Koch enrolled in Medicare?

No. Brian Koch has opted out of Medicare through May 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Brian Koch was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Brian D Koch D.d.s. NPPES

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

DR. BRIAN D KOCH D.D.S. (NPI 1083767800) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (3863) and active in the NPI registry since January 2007. He has opted out of Medicare through May 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083767800

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRIAN D KOCHCredential: D.D.S.

Location Address315 S MONROE AVEGreen Bay, WI 54301-4013

Mailing Address315 S Monroe AveGreen Bay, WI 54301-4013 · (920) 437-3376 · Fax (920) 437-8474

Phone(920) 437-3376

Fax(920) 437-8474

Sole ProprietorNo

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083767800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 3863

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

315 S MONROE AVE, Green Bay, WI 54301

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brian D Koch D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 19, 2015 through May 19, 2027.

Opt-Out Effective DateMay 19, 2015

Opt-Out In Effect ThroughMay 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. GREGORY S GARDNER D.D.S.

Dentist (General Practice)