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BRIAN KOCH
NPI 1972998417
Emergency Medicine in Glen Ridge, NJ

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1 BAY ST, GLEN RIDGE, NJ 07028(925) 595-1994 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 20, 2022, Jan 9, 2018 (2 updates tracked since 2018).

About Brian Koch NPPES

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

BRIAN KOCH (NPI 1972998417) is an individual emergency medicine provider in Glen Ridge, New Jersey, licensed in New Jersey (25MA10240700) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972998417
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRIAN KOCH
Location Address1 BAY STGlen Ridge, NJ 07028-1505
Mailing Address306 Hudson St Apt 1Hoboken, NJ 07030-5849 · (925) 595-1994
Phone(925) 595-1994
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1972998417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MA10240700✔ Licensed in CA · A149062
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 BAY ST, Glen Ridge, NJ 07028
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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

Brian Koch 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 ID446517536
PECOS Enrollment IDI20180724003534
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 2

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.
303 services286 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.
159 services155 patients

Hospital Affiliations CMS Care Compare

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

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07028 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 3

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

KAREN CALHOUN
Registered Nurse
1 BAY ST
GLEN RIDGE, NJ 07028
Essex County (717) 799-7665
MRS. JILL D LANGELL OTR/L
Occupational Therapist
1 BAY ST
GLEN RIDGE, NJ 07028
Essex County (973) 429-6000
ANDREA R. MEDEL P.A.
Physician Assistant
1 BAY ST
GLEN RIDGE, NJ 07028
Essex County (973) 429-6200

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 Brian Koch's NPI number?

The NPI number for Brian Koch is 1972998417. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Brian Koch located?

Brian Koch practices at 1 Bay St, Glen Ridge, NJ 07028. The listed phone number is (925) 595-1994.

What is Brian Koch's specialty?

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

Is Brian Koch enrolled in Medicare?

Yes. Brian 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 Brian Koch affiliated with any hospitals?

According to CMS data, Brian Koch is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Brian Koch was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.