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PAUL W. KOCH M.D.
NPI 1487623286
Emergency Medicine in Grosse Pointe, MI

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
159 KERCHEVAL AVE., GROSSE POINTE, MI 48236(313) 640-2300 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 27, 2022, Apr 20, 2020 (2 updates tracked since 2020).

About Paul W. Koch M.d. NPPES

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

PAUL W. KOCH M.D. (NPI 1487623286) is an individual emergency medicine provider in Grosse Pointe, Michigan, licensed in Illinois (036110592) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Wayne State University School Of Medicine (1987).

NPPES Registry Identity

NPI1487623286
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePAUL W. KOCHCredential: M.D.
Location Address159 KERCHEVAL AVE.Grosse Pointe, MI 48236
Mailing Address24920 Fairmount DrDearborn, MI 48124-1584 · (313) 274-6579
Phone(313) 640-2300
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1987
Enumeration DateMarch 15, 2006
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1487623286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036110592
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 4301052069 (MI)
Also ListedInternal MedicineTaxonomy 207R00000X · License 036110592 (IL)
159 KERCHEVAL AVE., Grosse Pointe, MI 48236
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Other Identifiers 2

Other3932056IL · Blue Sheild
Medicaid036110592-2IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Paul W. Koch M.d. 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 ID2163497025
PECOS Enrollment IDI20050901000733, I20080822000227
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
275 services259 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
219 services208 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
126 services117 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services46 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Memorial Hospital

Critical Access Hospitals · Chester, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141338
Location1900 State StChester, IL 62233 · Randolph County
Emergency services

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Gibson General Hospital

Critical Access Hospitals · Princeton, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151319
Location1808 Sherman DrPrinceton, IN 47670 · Gibson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 3

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

EDWARD J JELONEK JR. DO
Emergency Medicine (Emergency Medical Services)
159 KERCHEVAL AVE.
GROSSE POINTE, MI 48236
Wayne County (313) 640-2300
STEVEN D SANDUBRAE DO
Emergency Medicine (Emergency Medical Services)
159 KERCHEVAL AVE.
GROSSE POINTE, MI 48236
Wayne County (313) 640-2300
DOUGLAS J MACASKILL DO
Emergency Medicine
159 KERCHEVAL AVE.
GROSSE POINTE, MI 48236
Wayne County (313) 640-2300

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 Paul Koch's NPI number?

The NPI number for Paul Koch is 1487623286. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Paul Koch located?

Paul Koch practices at 159 Kercheval Ave., Grosse Pointe, MI 48236. The listed phone number is (313) 640-2300.

What is Paul Koch's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paul Koch enrolled in Medicare?

Yes. Paul 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 Paul Koch accept?

Health plans from CareSource list Paul 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 Paul Koch affiliated with any hospitals?

According to CMS data, Paul Koch is affiliated with Ferrell Hospital Community Foundations, Memorial Hospital, Fayette County Hospital and Gibson General Hospital.

When was this NPI record last updated?

The NPPES record for Paul Koch was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.