DR. STEVEN KOCH MD
NPI 1861401424
Obstetrics & Gynecology in Saint Marys, PA
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
Specialties & Licenses
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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Steven Koch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Du Bois, PA 15801
- Reassigned Medicare billing, Pennsylvania enrollment
- 28 clinicians in this Medicare group
Du Bois, PA 15801
- Reassigned Medicare billing, Pennsylvania enrollment
- 28 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.
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.
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, PAPenn Highlands Elk
Critical Access Hospitals · Saint Marys, PAPhysician 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.
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.
Reported Quality Measures
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.
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
SAINT MARYS, PA 15857
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.
Which organizations bill Medicare for Steven Koch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Steven Koch reassigns Medicare benefits to 2 organizations: Dubois Regional Medical Center (Du Bois, PA) and Dubois Regional Medical Group, PC (Du Bois, PA). 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 Steven Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Steven Koch accept?
Health plans from Ambetter Health 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.
# Dr. Steven Koch, MD · NPI 1861401424
Obstetrics & Gynecology physician in Saint Marys, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1861401424 (Entity type: Individual)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD438974 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 761 JOHNSONBURG RD, SUITE 210, Saint Marys, PA 15857-3483
- **Phone:** (814) 788-8118 · **Fax:** (814) 788-8022
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Dubois Regional Medical Center (NPI 1033213608, Du Bois, PA); Dubois Regional Medical Group, PC (NPI 1285728915, Du Bois, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** March 13, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1861401424) · Data from the CMS NPPES public registry.