DR. MARK JAMES KOCH D.C.
NPI 1699828251
Chiropractor in Elm Grove, WI
About Dr. Mark James Koch D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK JAMES KOCH D.C. (NPI 1699828251) is an individual chiropractor in Elm Grove, Wisconsin, licensed in Wisconsin (3460) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Palmer College Chiropractic - Davenport (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Mark James Koch D.c. 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Koch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elm Grove, WI 53122
- Reassigned Medicare billing, Wisconsin enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 Mark Koch's NPI number?
The NPI number for Mark Koch is 1699828251. It was assigned to this individual provider in the NPPES registry on January 18, 2007.
Where is Mark Koch located?
Mark Koch practices at 1055 Legion Dr, Elm Grove, WI 53122. The listed phone number is (262) 784-8232.
What is Mark Koch's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mark Koch enrolled in Medicare?
Yes. Mark 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 Mark Koch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Koch reassigns Medicare benefits to Mark Koch Dc LLC (Elm Grove, WI). 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 Mark Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Koch accept?
Health plans from CareSource (Common Ground Healthcare), HealthPartners, Network Health and UnitedHealthcare list Mark 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.
When was this NPI record last updated?
The NPPES record for Mark Koch was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Mark James Koch, D.C. · NPI 1699828251
Chiropractor provider in Elm Grove, Wisconsin. Individual provider, active in the CMS NPPES registry since January 18, 2007.
## Identity
- **NPI:** 1699828251 (Entity type: Individual)
- **Enumerated:** January 18, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 3460 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1055 LEGION DR, Elm Grove, WI 53122-2202
- **Phone:** (262) 784-8232 · **Fax:** (262) 784-4139
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mark Koch Dc LLC (NPI 1134883861, Elm Grove, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 1997
## Record status
- **NPPES last updated:** June 30, 2008
- **Other identifiers:** Medicare UPIN U72932 (WI); Medicaid 38926800 (WI); Medicare PIN 000035201 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1699828251) · Data from the CMS NPPES public registry.