SEAN KOCH MD
NPI 1184112112
Family Medicine in Wynne, AR

Active since April 25, 2018PECOS EnrolledAccepts Medicare Assignment
1920 FALLS BLVD N, WYNNE, AR 72396(870) 587-0800 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2023, Jul 8, 2022, Apr 25, 2018 (3 updates tracked since 2018).

About Sean Koch Md NPPES

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

SEAN KOCH MD (NPI 1184112112) is an individual family medicine provider in Wynne, Arkansas, licensed in Arkansas (E-15515) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Marion, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184112112
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEAN KOCHCredential: MD
Location Address1920 FALLS BLVD NWynne, AR 72396-4027
Mailing Address924 Ar-77Marion, AR 72364 · (870) 739-8670
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 25, 2018
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 5, 2023
NPI 1184112112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · E-15515
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.
1920 FALLS BLVD N, Wynne, AR 72396

Secondary Practice Location 1

Location 1924 AR-77Marion, AR 72364 · Phone (870) 739-8670

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sean Koch Md 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 ID3971854530
PECOS Enrollment IDI20220629003611
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.

Areas of Expertise CMS Part B claims 37

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.
818 services352 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
563 services297 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
377 services256 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
357 services246 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
298 services227 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
236 services142 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72396 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES 7

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

Pediatrics
1920 FALLS BLVD N
WYNNE, AR 72396
Nurse Practitioner (Family)
1920 FALLS BLVD N
WYNNE, AR 72396
Nurse Practitioner (Primary Care)
1920 FALLS BLVD N
WYNNE, AR 72396
Family Medicine
1920 FALLS BLVD N
WYNNE, AR 72396
Clinic/Center (Rural Health)
1920 FALLS BLVD N
WYNNE, AR 72396
Nurse Practitioner (Family)
1920 FALLS BLVD N
WYNNE, AR 72396
Nurse Practitioner (Family)
1920 FALLS BLVD N
WYNNE, AR 72396

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 Sean Koch's NPI number?

The NPI number for Sean Koch is 1184112112. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Sean Koch located?

Sean Koch practices at 1920 Falls Blvd N, Wynne, AR 72396. The listed phone number is (870) 587-0800.

What is Sean Koch's specialty?

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

Is Sean Koch enrolled in Medicare?

Yes. Sean 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.

What insurance does Sean Koch accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 8 other insurers list Sean 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.

When was this NPI record last updated?

The NPPES record for Sean Koch was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.