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JUSTIN THOMAS KOCH D.O.
NPI 1861718587
Emergency Medicine in York, PA

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
36.85/100
CMS Quality Rating
1001 S GEORGE ST, YORK, PA 17403(717) 851-2450(717) 851-3469 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Thomas Koch D.o. NPPES

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

JUSTIN THOMAS KOCH D.O. (NPI 1861718587) is an individual emergency medicine provider in York, Pennsylvania, licensed in Pennsylvania (OS016603) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1861718587
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUSTIN THOMAS KOCHCredential: D.O.
Location Address1001 S GEORGE STYork, PA 17403-3676
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-2450 · Fax (717) 851-3469
Phone(717) 851-2450
Fax(717) 851-3469
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2010
Enumeration DateApril 20, 2010
Last NPPES UpdateMay 19, 2022
NPPES CertifiedMay 19, 2022
✔ NPI 1861718587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · OS016603✔ Licensed in MD · H74630
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1001 S GEORGE ST, York, PA 17403
Open in Google Maps ↗

Other Identifiers 2

Medicaid102838415PA
Other2899302PA · Highmark Blue Shield

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

Justin Thomas Koch D.o. 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 ID4789825910
PECOS Enrollment IDI20130730000681
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
316 services307 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

36.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.45
Improvement Activities20
Cost60.35

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.

MRS. KAREN SMAY FRY CCC-SLP
Speech-Language Pathologist
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2601
MRS. ANURADHA SHARMA CRNP
Nurse Practitioner (Adult Health)
1001 S GEORGE ST, 3RD FLOOR
YORK, PA 17403
York County (717) 851-4005
DR. SAHIL JAIN M.D.
Family Medicine
1001 S GEORGE ST, YORK HOSPITAL
YORK, PA 17403
York County (717) 851-2521
ADRIENNE CHAKOT CRNA
Nurse Anesthetist, Certified Registered
1001 S GEORGE ST
YORK, PA 17403
York County (717) 812-7687
BRIAN DAVID HOLSINGER MD
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2311
NICOLE S BENZING PAC
Physician Assistant (Medical)
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2465
JACOB RUSSELL MCKENZIE MD
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 851-2311
MUSTAFA TAHIR MD
Internal Medicine
1001 S GEORGE ST
YORK, PA 17403
York County (717) 741-8003

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 Justin Koch's NPI number?

The NPI number for Justin Koch is 1861718587. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Justin Koch located?

Justin Koch practices at 1001 S George St, York, PA 17403. The listed phone number is (717) 851-2450.

What is Justin Koch's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Koch enrolled in Medicare?

Yes. Justin 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 Justin Koch affiliated with any hospitals?

According to CMS data, Justin Koch is affiliated with Wellspan York Hospital.

When was this NPI record last updated?

The NPPES record for Justin Koch was last updated on May 19, 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.