PAUL FREDERICK KOCH MD
NPI 1699094375
Neurological Surgery in Richmond, VA

Active since May 20, 2010PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
417 N 11TH ST, RICHMOND, VA 23298(804) 828-9165(804) 828-4493 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Oct 19, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Paul Frederick Koch Md NPPES

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

PAUL FREDERICK KOCH MD (NPI 1699094375) is an individual neurological surgery provider in Richmond, Virginia, licensed in Virginia (0101265153) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699094375
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NamePAUL FREDERICK KOCHCredential: MD
Location Address417 N 11TH STRichmond, VA 23298
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-4493
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2010
Enumeration DateMay 20, 2010
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1699094375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in VA · 0101265153
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
417 N 11TH ST, Richmond, VA 23298

Secondary Practice Locations 2

Location 1Emory University Hospital 1364 Clifton Rd NEAtlanta, GA 30322-4206 · Phone (404) 712-2000
Location 21250 E Marshall StRichmond, VA 23298-5051 · Phone (804) 828-9165 · Fax (804) 828-4493

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

Paul Frederick 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 ID6709156532
PECOS Enrollment IDI20181220003277
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 3

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
33 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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.

Nurse Practitioner (Acute Care)
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
417 N 11TH ST
RICHMOND, VA 23298
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Orthopaedic Surgery
417 N 11TH ST
RICHMOND, VA 23298

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 1699094375. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Where is Paul Koch located?

Paul Koch practices at 417 N 11th St, Richmond, VA 23298. The listed phone number is (804) 828-9165.

What is Paul Koch's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

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 Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 Medical College Of Virginia Hospitals and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paul Koch was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.