CLAUDIA KOCH MD
NPI 1891756466
Family Medicine in Milwaukee, WI

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
3056 S KINNICKINNIC AVE, MILWAUKEE, WI 53207(414) 769-4900 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Claudia Koch Md NPPES

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

CLAUDIA KOCH MD (NPI 1891756466) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (44003) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1891756466
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLAUDIA KOCHCredential: MD
Location Address3056 S KINNICKINNIC AVEMilwaukee, WI 53207-2583
Mailing Address4425 N Port Washington Rd, Attn: Clinic CredentialingGlendale, WI 53212-1082 · (414) 769-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 31, 2006
Last NPPES UpdateJune 11, 2012
NPI 1891756466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 44003
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3056 S KINNICKINNIC AVE, Milwaukee, WI 53207

Other Identifiers 2

Medicare UPINH57804WI
Medicaid34163400WI

Accepted 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

Claudia 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 ID6507943826
PECOS Enrollment IDI20080410000113
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 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.
43 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53207 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207
Physical Therapist
3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207
Nurse Practitioner
3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207
Family Medicine
3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207
Nurse Practitioner (Family)
3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207
Nurse Practitioner (Family)
3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207
Internal Medicine (Cardiovascular Disease)
3056 S KINNICKINNIC AVE, SUITE 300
MILWAUKEE, WI 53207
Family Medicine
3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207

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 Claudia Koch's NPI number?

The NPI number for Claudia Koch is 1891756466. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Claudia Koch located?

Claudia Koch practices at 3056 S Kinnickinnic Ave, Milwaukee, WI 53207. The listed phone number is (414) 769-4900.

What is Claudia Koch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Claudia Koch enrolled in Medicare?

Yes. Claudia 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 Claudia Koch accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Claudia 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 Claudia Koch affiliated with any hospitals?

According to CMS data, Claudia Koch is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Claudia Koch was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.