DR. STANLEY W KOCH (MD) – Family Medicine Physician, NPI 1467436436
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. STANLEY W KOCH (MD)
Koch Family Medicine Physical Therapy, 411, Maxine Drive, Morton, Tazewell County, Illinois, 61550, United States
MORTON, IL 615502495
Phone: (309) 263-2411
Fax: (309) 263-2208
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $5,222.
Total Amount is formed as General ($5,222) + Research ($0) + Ownership ($0) = $5,222.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ModernaTX, Inc. ($4,040).
Total Amount
$5,222
General + Research + Ownership
Payments
74
Total payment records
General Amount
$5,222
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ModernaTX, Inc. | $4,040 |
| PFIZER INC. | $200 |
| Novartis Pharmaceuticals Corporation | $162 |
| Amgen Inc. | $118 |
| ABBVIE INC. | $83 |
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: 2005-04-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050404000301 | I | Family Practice | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 408 | 236 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 221 | 147 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 175 | 175 | $0 |
| 85610 | Blood test, clotting time | 116 | 13 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 84 | 16 | $0 |
Insurance plans in this area (ZIP 61550)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IL | 85610 | Blood test, clotting time | 236 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL | |
| - | GA | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL |
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