KAREN SUE KOCH DO
NPI 1457359549
Family Medicine in Helena, MT
About Karen Sue Koch Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN SUE KOCH DO (NPI 1457359549) is an individual family medicine provider in Helena, Montana, licensed in Montana (144976) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and maintains a secondary practice location in Akron.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Karen Sue Koch Do 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Peters Health
Acute Care Hospitals · Helena, MTBenefis Hospitals Inc
Acute Care Hospitals · Great Falls, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 59601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 14
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HELENA, MT 59601
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 Karen Koch's NPI number?
The NPI number for Karen Koch is 1457359549. It was assigned to this individual provider in the NPPES registry on July 12, 2005.
Where is Karen Koch located?
Karen Koch practices at 1645 Vandelay Ave Ste 301, Helena, MT 59601. The listed phone number is (406) 731-8888.
What is Karen Koch's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Karen Koch enrolled in Medicare?
Yes. Karen 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 Karen Koch accept?
Health plans from Blue Cross and Blue Shield of Montana, CareSource, Mountain Health CO-OP and Providence Health Plan list Karen 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 Karen Koch affiliated with any hospitals?
According to CMS data, Karen Koch is affiliated with St Peters Health and Benefis Hospitals Inc.
When was this NPI record last updated?
The NPPES record for Karen Koch was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.