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DR. HELENE M. KOCH D.O.
NPI 1598723819
Obstetrics & Gynecology in Bala Cynwyd, PA

Active since May 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 39D1014581 · Microscopy
25 BALA AVENUE, STE 205, BALA CYNWYD, PA 19004(610) 667-6363(610) 667-5155 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Helene M. Koch D.o. NPPES

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

DR. HELENE M. KOCH D.O. (NPI 1598723819) is an individual obstetrics & gynecology provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (OS-007489-L) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through July 28, 2027, and is affiliated with Hospital Of Univ Of Pennsylvania.

NPPES Registry Identity

NPI1598723819
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. HELENE M. KOCHCredential: D.O.
Location Address25 BALA AVENUE, STE 205Bala Cynwyd, PA 19004
Mailing Address25 Bala Avenue, Ste 205Bala Cynwyd, PA 19004 · (610) 667-6363 · Fax (610) 667-5155
Phone(610) 667-6363
Fax(610) 667-5155
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1990
Enumeration DateMay 3, 2006
Last NPPES UpdateNovember 16, 2011
✔ NPI 1598723819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in PA · OS-007489-L✔ Licensed in PA · OS007489L
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
25 BALA AVENUE, Bala Cynwyd, PA 19004
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN817162PA
Medicare UPING26627

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Helene M. Koch D.o. 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 ID9032162631
PECOS Enrollment IDI20050223000738
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.

Medicare Billing Reassignment

Medicare enrollment records show Helene Koch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Helene M Koch Do PC
Same address
Obstetrics & Gynecology
25 BALA AVENUE
Bala Cynwyd, PA 19004
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1801854765 (610) 667-6363

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D1014581

Helene M Koch Do · Bala Cynwyd, PA
Active · expires Jul 28, 2027
CLIA Number39D1014581
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorDr. Helene M. Koch Do
Laboratory Phone(610) 667-6363
Laboratory LocationHelene M Koch Do25 Bala Avenue Suite 205, Bala Cynwyd, PA 19004
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 4

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 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.
73 services48 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.
39 services27 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
35 services32 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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 2

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

DR. NANCY HILLIS MD
Pediatrics
25 BALA AVENUE, SUITE 102
BALA CYNWYD, PA 19004
Montgomery County (215) 452-0304
HELENE M KOCH DO PC
Obstetrics & Gynecology
25 BALA AVENUE
BALA CYNWYD, PA 19004
Montgomery County (610) 667-6363

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 Helene Koch's NPI number?

The NPI number for Helene Koch is 1598723819. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Helene Koch located?

Helene Koch practices at 25 Bala Avenue Ste 205, Bala Cynwyd, PA 19004. The listed phone number is (610) 667-6363.

What is Helene Koch's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Helene Koch enrolled in Medicare?

Yes. Helene 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.

Which organization bills Medicare for Helene Koch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Helene Koch reassigns Medicare benefits to Helene M Koch Do PC (Bala Cynwyd, PA). The 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 Helene Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Helene Koch hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D1014581) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Helene Koch affiliated with any hospitals?

According to CMS data, Helene Koch is affiliated with Hospital Of Univ Of Pennsylvania and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Helene Koch was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.