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DR. STEVEN KOCH MD
NPI 1861401424
Obstetrics & Gynecology in Saint Marys, PA

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
92.35/100
CMS Quality Rating
761 JOHNSONBURG RD, SUITE 210, SAINT MARYS, PA 15857(814) 788-8118(814) 788-8022 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Steven Koch Md NPPES

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

DR. STEVEN KOCH MD (NPI 1861401424) is an individual obstetrics & gynecology provider in Saint Marys, Pennsylvania, licensed in Pennsylvania (MD438974) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Creighton University School Of Medicine (2004).

NPPES Registry Identity

NPI1861401424
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. STEVEN KOCHCredential: MD
Location Address761 JOHNSONBURG RD, SUITE 210Saint Marys, PA 15857-3483
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-4200 · Fax (814) 375-4232
Phone(814) 788-8118
Fax(814) 788-8022
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2004
Enumeration DateAugust 5, 2006
Last NPPES UpdateMarch 13, 2014
✔ NPI 1861401424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD438974
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.
761 JOHNSONBURG RD, Saint Marys, PA 15857
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Steven 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 ID648306936
PECOS Enrollment IDI20100325000656
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services24 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15857 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

92.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability91
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%671 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
79%76 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
26%346 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%346 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%346 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JOHN M. GORLOWSKI, M.D.
Clinical Medical Laboratory
761 JOHNSONBURG RD, SUITE 360
SAINT MARYS, PA 15857
Elk County (814) 781-8677
JOHN M GORLOWSKI MD PC
Pediatrics (Adolescent Medicine)
761 JOHNSONBURG RD, SUITE 360
SAINT MARYS, PA 15857
Elk County (814) 781-8677
DUBOIS REGIONAL MED CENTER - PENN HIGHLANDS FAMILY MED ST MARYS 94150
Family Medicine
761 JOHNSONBURG RD, SUITE 220
SAINT MARYS, PA 15857
Elk County (814) 834-2850
TRI-COUNTY UROLOGY INC
Urology
761 JOHNSONBURG RD, SUITE 350
SAINT MARYS, PA 15857
Elk County (814) 781-8669
MARSHA LYNN LEHMAN
Nurse Practitioner (Family)
761 JOHNSONBURG RD
SAINT MARYS, PA 15857
Elk County (814) 788-8777
DORA BLAIR NELSON PA-C
Physician Assistant
761 JOHNSONBURG RD
SAINT MARYS, PA 15857
Elk County (814) 512-7126
DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE
Family Medicine
761 JOHNSONBURG RD, SUITE 240
SAINT MARYS, PA 15857
Elk County (814) 788-8183
ELK REGIONAL PROFESSIONAL GROUP, INC.
Surgery
761 JOHNSONBURG RD, ERPG SPECIALTY SERVICES
SAINT MARYS, PA 15857
Elk County (814) 788-8615

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 Steven Koch's NPI number?

The NPI number for Steven Koch is 1861401424. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Steven Koch located?

Steven Koch practices at 761 Johnsonburg Rd Suite 210, Saint Marys, PA 15857. The listed phone number is (814) 788-8118.

What is Steven Koch's specialty?

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

Is Steven Koch enrolled in Medicare?

Yes. Steven 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 Steven Koch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Steven 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 Steven Koch affiliated with any hospitals?

According to CMS data, Steven Koch is affiliated with Penn Highlands Dubois and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Steven Koch was last updated on March 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.