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KOCH FACIAL PLASTIC SURGERY PC
NPI 1316389653
Otolaryngology in West Des Moines, IA

Active since July 29, 2013
4855 MILLS CIVIC PARKWAY #100, WEST DES MOINES, IA 50265(515) 277-5555(515) 277-0060 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Koch Facial Plastic Surgery Pc NPPES

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

KOCH FACIAL PLASTIC SURGERY PC (NPI 1316389653) is a healthcare organization registered as an otolaryngology in West Des Moines, Iowa and active in the NPI registry since July 2013. The organization lists Brent Koch, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1316389653
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameKOCH FACIAL PLASTIC SURGERY PC
Location Address4855 MILLS CIVIC PARKWAY #100West Des Moines, IA 50265
Mailing Address4855 Mills Civic Parkway #100West Des Moines, IA 50265 · (515) 277-5555 · Fax (515) 277-0060
Phone(515) 277-5555
Fax(515) 277-0060
Organization SubpartNo
Authorized OfficialBrent KochOwner/md · (515) 277-5555
Enumeration DateJuly 29, 2013
Last NPPES UpdateJanuary 12, 2017
✔ NPI 1316389653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4855 MILLS CIVIC PARKWAY #100, West Des Moines, IA 50265
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koch Facial Plastic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Koch Facial Plastic Surgery PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Cody Koch, MD, PHD
Plastic and Reconstructive Surgery
NPI 1316149925
4855 MILLS CIVIC PKWY
West Des Moines, IA 50265
(515) 277-5555
✔ PECOS✔ Accepts MedicareSame address
Michael Carlisle, M.D.
Plastic and Reconstructive Surgery
NPI 1295950376
4855 MILLS CIVIC PKWY. STE. 100
West Des Moines, IA 50265
(515) 277-5555
✔ PECOS✔ Accepts MedicareSame address

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

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 Koch Facial Plastic Surgery PC's NPI number?

The NPI number for Koch Facial Plastic Surgery PC is 1316389653. It was assigned to this organization in the NPPES registry on July 29, 2013.

Where is Koch Facial Plastic Surgery PC located?

Koch Facial Plastic Surgery PC is located at 4855 Mills Civic Parkway #100, West Des Moines, IA 50265. The listed phone number is (515) 277-5555.

What is Koch Facial Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Koch Facial Plastic Surgery PC enrolled in Medicare?

Yes. Koch Facial Plastic Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Koch Facial Plastic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Koch Facial Plastic Surgery PC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Koch Facial Plastic Surgery PC was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.