RYAN TAYLOR KOCH PA
NPI 1770092967
Physician Assistant in Mineola, NY
About Ryan Taylor Koch Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN TAYLOR KOCH PA (NPI 1770092967) is an individual physician assistant in Mineola, New York and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and maintains a secondary practice location in West Islip.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ryan Taylor Koch Pa 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYNyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MINEOLA, NY 11501
MINEOLA, NY 11501
MINEOLA, NY 11501
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 Ryan Koch's NPI number?
The NPI number for Ryan Koch is 1770092967. It was assigned to this individual provider in the NPPES registry on September 20, 2017.
Where is Ryan Koch located?
Ryan Koch practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-0333.
What is Ryan Koch's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ryan Koch enrolled in Medicare?
Yes. Ryan 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.
Is Ryan Koch affiliated with any hospitals?
According to CMS data, Ryan Koch is affiliated with John T Mather Memorial Hospital Of Port Jefferson and Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Ryan Koch was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ryan Taylor Koch, PA · NPI 1770092967
Physician Assistant physician in Mineola, New York. Individual provider, active in the CMS NPPES registry since September 20, 2017.
## Identity
- **NPI:** 1770092967 (Entity type: Individual)
- **Enumerated:** September 20, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 259 1ST ST, Mineola, NY 11501-3957
- **Phone:** (516) 663-0333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1770092967) · Data from the CMS NPPES public registry.