DR. CARL D KOCH MD
NPI 1386873255
Internal Medicine - Pulmonary Disease in East Cleveland, OH

Active since July 13, 2009PECOS EnrolledAccepts Medicare Assignment
13944 EUCLID AVE, EAST CLEVELAND, OH 44112(216) 767-4242 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2023, Sep 25, 2018 (2 updates tracked since 2018).

About Dr. Carl D Koch Md NPPES

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

DR. CARL D KOCH MD (NPI 1386873255) is an individual pulmonary disease provider in East Cleveland, Ohio, licensed in Ohio (35.148978) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386873255
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CARL D KOCHCredential: MD
Location Address13944 EUCLID AVEEast Cleveland, OH 44112-3804
Mailing Address13944 Euclid AveEast Cleveland, OH 44112-3804 · (216) 767-4242
Sole ProprietorYes
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2009
Enumeration DateJuly 13, 2009
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1386873255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in OH · 35.148978 Licensed in PA · MD450251
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD450251 (PA)
13944 EUCLID AVE, East Cleveland, OH 44112

Secondary Practice Locations 2

Location 13459 Fifth Avenue, UPMC Montefiore Hospital, NW628PITTSBURGH, PA 15213 · Phone (412) 383-0124
Location 21500 E. Medical Center Dr., 3116 Taubman Center, SPC 5368Ann Arbor, MI 48109-5368 · Phone (734) 936-4385

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

Dr. Carl D 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 ID9436463759
PECOS Enrollment IDI20230815002778
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
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.
17 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Marymount Hospital

Acute Care Hospitals · Garfield Heights, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360143
Location12300 Mccracken RoadGarfield Heights, OH 44125 · Cuyahoga County
Emergency services

South Pointe Hospital

Acute Care Hospitals · Warrensville Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360144
Location20000 Harvard RoadWarrensville Heights, OH 44122 · Cuyahoga County

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44112 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Internal Medicine
13944 EUCLID AVE
EAST CLEVELAND, OH 44112
Physical Therapist (Orthopedic)
13944 EUCLID AVE
EAST CLEVELAND, OH 44112
Nurse Practitioner (Family)
13944 EUCLID AVE
EAST CLEVELAND, OH 44112
Dentist
13944 EUCLID AVE, SUITE 206
EAST CLEVELAND, OH 44112
Pharmacist (Ambulatory Care)
13944 EUCLID AVE
EAST CLEVELAND, OH 44112
Psychologist (Clinical)
13944 EUCLID AVE
EAST CLEVELAND, OH 44112
Nurse Practitioner (Family)
13944 EUCLID AVE
EAST CLEVELAND, OH 44112
Internal Medicine
13944 EUCLID AVE
EAST CLEVELAND, OH 44112

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 Carl Koch's NPI number?

The NPI number for Carl Koch is 1386873255. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Carl Koch located?

Carl Koch practices at 13944 Euclid Ave, East Cleveland, OH 44112. The listed phone number is (216) 767-4242.

What is Carl Koch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Carl Koch enrolled in Medicare?

Yes. Carl 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 Carl Koch accept?

Health plans from Molina Healthcare and Oscar Insurance Corporation of Ohio list Carl 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 Carl Koch affiliated with any hospitals?

According to CMS data, Carl Koch is affiliated with Fairview Hospital, Marymount Hospital, South Pointe Hospital, Cleveland Clinic and Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Carl Koch was last updated on August 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.