SEAN KOCH (MD) – Family Medicine Physician, NPI 1184112112

SEAN KOCH (MD) is a healthcare provider. based in Jonesboro, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-15515 (AR). The NPI Number for SEAN KOCH (MD) is 1184112112

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
SEAN KOCH (MD)
NPI
1184112112
Phone
(870) 972-0063
Address
311 E MATTHEWS AVE
Enumeration Date
25 April 2018
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8705870800
Graduation Year
2018 (8 years ago)
PAC ID
3971854530
Group Practice PAC ID
6305217688
Professional Enrollment ID
I20220629003611
Address ID
AR723964027WY1920XNXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for SEAN KOCH (MD)

  • 311, East Matthews Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724013125

    Phone: (870) 972-0063

    Type: Mailing

  • 924 AR-77

    Marion, AR 72364

    Phone: (870) 739-8670

    Type: Location

  • 1920 FALLS BLVD N

    WYNNE, AR 723964027

    Phone: (870) 587-0800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 126 Open Payments records for all available years, with a total value of $2,223.

Total Amount is formed as General ($2,223) + Research ($0) + Ownership ($0) = $2,223.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($566).

Total Amount

$2,223

General + Research + Ownership

Payments

126

Total payment records

General Amount

$2,223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220629003611IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes749355$0
36415Insertion of needle into vein for collection of blood sample527301$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count280226$0
80053Blood test, comprehensive group of blood chemicals254206$0
83036Hemoglobin a1c level189111$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305217688View full group profile
NameSpecialtyState
Nurse PractitionerAR
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I cross-check SEAN KOCH (MD) using NPI 1184112112?
NPI 1184112112 belongs to SEAN KOCH (MD); compare other details if you need extra assurance.
Is there an active status for SEAN KOCH (MD)?
For scheduling context, SEAN KOCH (MD) is shown as active in the registry.
How would a patient describe SEAN KOCH (MD)'s focus?
For SEAN KOCH (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is SEAN KOCH (MD) located near Jonesboro?
SEAN KOCH (MD) currently maps to Jonesboro, Arkansas in this extract.
When was this NPI issued?
Enumeration for SEAN KOCH (MD) is noted as April 25, 2018 where the registry provides it.

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