ABIGAIL LYNN KOCH M.D.
NPI 1992149108
Internal Medicine - Pulmonary Disease in Winston Salem, NC

Q: What is Abigail Koch's NPI number?

The NPI number for Abigail Koch is 1992149108. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Q: What is Abigail Koch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Abigail Koch was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 April 18, 2013PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-4649 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Oct 9, 2020, Jun 30, 2016 (3 updates tracked since 2016).

On this page

About Abigail Lynn Koch M.d. NPPES

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

ABIGAIL LYNN KOCH M.D. (NPI 1992149108) is an individual pulmonary disease provider in Winston Salem, North Carolina, licensed in North Carolina (2024-02357) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1992149108

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameABIGAIL LYNN KOCHCredential: M.D.

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0020

Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-4649 · Fax (336) 716-9916

Phone(336) 716-4649

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2013

Enumeration DateApril 18, 2013

Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1992149108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in NC · 2024-02357✔ Licensed in MD · D86898

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

MEDICAL CENTER BLVD, Winston Salem, NC 27157

Open in Google Maps ↗

Secondary Practice Location 1

Location 11830 E Monument St Fl 5Baltimore, MD 21287-0020 · Phone (410) 955-4176 · Fax (410) 614-1652

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Abigail Lynn 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 ID9739471459

PECOS Enrollment IDI20240924001082

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 7

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.

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.

109 services60 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

54 services36 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.

46 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

42 services36 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.

32 services32 patients

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

17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340004

Location601 N Elm StHigh Point, NC 27261 · Guilford County

Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340064

Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County

Emergency services Birthing friendly

Lexington Memorial Hospital Inc

Acute Care Hospitals · Lexington, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340096

Location250 Hospital Drive PO Box 1817Lexington, NC 27293 · Davidson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

81.31/100

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

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

6%35 patients

Breast Cancer Screening

36%129 patients2/55-star benchmark: 93%

Cervical Cancer Screening

18%121 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

33%264 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

75%105 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

40%43 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

37%43 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

89%769 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

97%172 patients4/55-star benchmark: 100%

HIV Screening

29%244 patients2/55-star benchmark: 60%

Oncology: Medical and Radiation - Pain Intensity Quantified

88%24 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

42%389 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

93%321 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

19%554 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 218 patients

Patients screened: 100% · 218 patients

81%21 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%158 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 16% · 182 patients

Patients totalRate: 21% · 182 patients

19%182 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CRAIG MICHAEL COMBS MD

Anesthesiology