HILARY KEVIN KOECH MD
NPI 1659833325
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Royal Palm Beach, FL

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
440 N STATE ROAD 7 STE 107, ROYAL PALM BEACH, FL 33411(561) 798-6600(561) 753-3328 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2026, Apr 2, 2019 (2 updates tracked since 2019).

About Hilary Kevin Koech Md NPPES

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

HILARY KEVIN KOECH MD (NPI 1659833325) is an individual orthopaedic surgery of the spine provider in Royal Palm Beach, Florida, licensed in Florida (ME182232) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Delray Beach, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659833325
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameHILARY KEVIN KOECHCredential: MD
Location Address440 N STATE ROAD 7 STE 107Royal Palm Beach, FL 33411-3504
Mailing Address10131 Forest Hill Blvd Ste 230Wellington, FL 33414-6109 · (561) 798-6600 · Fax (561) 753-3328
Fax(561) 753-3328
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1659833325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in FL · ME182232
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A201651 (CA)
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License ME182232 (FL)
440 N STATE ROAD 7 STE 107, Royal Palm Beach, FL 33411

Secondary Practice Location 1

Location 1190 Congress Park Dr Ste 160Delray Beach, FL 33445-4707 · Phone (561) 798-6600 · Fax (561) 753-3328

Accepted Insurance

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

Hilary Kevin Koech 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 ID244566206
PECOS Enrollment IDI20250808004020
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 Reassignments

2

Medicare enrollment records show Hilary Koech reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
10131 W FOREST HILL BLVD STE 230
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 24 clinicians in this Medicare group
Family Medicine
501 WASHINGTON ST, SUITE 525/600
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,598 clinicians in this Medicare group

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

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.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
440 N STATE ROAD 7 STE 107
ROYAL PALM BEACH, FL 33411
Nurse Practitioner (Adult Health)
440 N STATE ROAD 7 STE 107
ROYAL PALM BEACH, FL 33411
Physician Assistant (Surgical)
440 N STATE ROAD 7 STE 107
ROYAL PALM BEACH, FL 33411

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 Hilary Koech's NPI number?

The NPI number for Hilary Koech is 1659833325. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Hilary Koech located?

Hilary Koech practices at 440 N State Road 7 Ste 107, Royal Palm Beach, FL 33411. The listed phone number is (561) 798-6600.

What is Hilary Koech's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Hilary Koech enrolled in Medicare?

Yes. Hilary Koech 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 organizations bill Medicare for Hilary Koech's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hilary Koech reassigns Medicare benefits to 2 organizations: Center For Bone & Joint Surgery Of The Palm Beaches, P.A. (Wellington, FL) and Scripps Health (San Diego, CA). Each 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 Hilary Koech's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hilary Koech accept?

Health plans from Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and Wellpoint list Hilary Koech 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.

When was this NPI record last updated?

The NPPES record for Hilary Koech was last updated on August 20, 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.