DR. DOUGLAS D. KOCH M.D.
NPI 1881683233
Ophthalmology in Houston, TX

Q: What is Douglas Koch's NPI number?

The NPI number for Douglas Koch is 1881683233. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is Douglas Koch's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Koch was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

6550 FANNIN ST, SUITE 1501, HOUSTON, TX 77030(713) 798-6100(713) 798-4231 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Douglas D. Koch M.d. NPPES

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

DR. DOUGLAS D. KOCH M.D. (NPI 1881683233) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (F1717) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Harvard Medical School (1977).

NPPES Registry Identity

NPI1881683233

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. DOUGLAS D. KOCHCredential: M.D.

Location Address6550 FANNIN ST, SUITE 1501Houston, TX 77030-2717

Mailing AddressPo Box 4771Houston, TX 77210-4771 · (713) 798-6100 · Fax (713) 798-4231

Phone(713) 798-6100

Fax(713) 798-4231

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1977

Enumeration DateOctober 18, 2005

Last NPPES UpdateNovember 20, 2020

NPPES CertifiedNovember 20, 2020

✔ NPI 1881683233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · F1717

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

6550 FANNIN ST, Houston, TX 77030

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Other Identifiers 4

Medicaid134599303TX

Medicaid134599302TX

Other2317988TX · Blue Link

Other82W921TX · Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Douglas D. Koch M.d. 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 ID7618159195

PECOS Enrollment IDI20110303000877

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.

Medicare Billing Reassignments

Medicare enrollment records show Douglas Koch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine

0.2 mi

Internal Medicine

6620 MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1104867175 (713) 798-2500

Baylor College Of Medicine

0.9 mi

Medical Genetics, Ph.D. Medical Genetics

7200 CAMBRIDGE ST FL 10
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,554 clinicians in this Medicare group

NPI 1881026664 (713) 798-0000

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 12

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.

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

360 services154 patients

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.

238 services207 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

228 services141 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.

187 services159 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

135 services135 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

121 services119 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

84 services81 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

32 services32 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services16 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

16 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

91.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

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.

MEGAN MCCLANAHAN

Student in an Organized Health Care Education/Training Program

6550 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-5155

MARIANNE CARLSON PSYD

Psychologist (Clinical)

6550 FANNIN ST
HOUSTON, TX 77030

Harris County (346) 248-2040

MARIE MCLAIN P.A.

Physician Assistant

6550 FANNIN ST, SMITH TOWER, SUITE 1901
HOUSTON, TX 77030

Harris County (713) 441-1100

DALIA MOGHAZY MD

Obstetrics & Gynecology

6550 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 790-3311

YVONNE I-FANG CHU M.D.

Ophthalmology

6550 FANNIN ST, SUITE 1501
HOUSTON, TX 77030

Harris County (713) 798-6100

DR. SAM JERRY LONG D.D.S.

Dentist (General Practice)

6550 FANNIN ST, STE 2103
HOUSTON, TX 77030

Harris County (713) 797-0846

THOMAS W KNIGHT MD

Internal Medicine

6550 FANNIN ST, SMITH 1101
HOUSTON, TX 77030

Harris County (713) 441-0006

DR. JOOHI JIMENEZ-SHAHED M.D.

Psychiatry & Neurology (Neurology)

6550 FANNIN ST, SUITE 1801
HOUSTON, TX 77030

Harris County (713) 798-5975

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 Douglas Koch's NPI number?

The NPI number for Douglas Koch is 1881683233. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Douglas Koch located?

Douglas Koch practices at 6550 Fannin St Suite 1501, Houston, TX 77030. The listed phone number is (713) 798-6100.

What is Douglas Koch's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Douglas Koch enrolled in Medicare?

Yes. Douglas 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 Douglas Koch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Koch reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (Houston, TX) and Baylor College Of Medicine (Houston, TX). 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 Douglas Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Koch accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Douglas 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 Douglas Koch affiliated with any hospitals?

According to CMS data, Douglas Koch is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Douglas Koch was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.