DR. MATTHEW J KOCH (MD) – Nephrology Physician, NPI 1962420448
Nephrology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
629 NEPHROLOGY in IL
Provider Addresses for DR. MATTHEW J KOCH (MD)
4600 MEMORIAL DR STE 330
BELLEVILLE, IL 622265366
Phone: (618) 234-6003
Type: Mailing
4600 Memorial Dr
Ste. 330
Belleville, IL 622265368
Phone: (618) 234-6003
Fax: (618) 234-6156
Type: Location
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 622265372
Phone: (618) 767-3235
Fax: (618) 433-6470
Type: Location
4600, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
STE. 330
BELLEVILLE, IL 622265368
Phone: (618) 234-6003
Fax: (618) 234-6156
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,606.
Total Amount is formed as General ($1,606) + Research ($0) + Ownership ($0) = $1,606.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($274).
Total Amount
$1,606
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,606
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $274 |
| Travere Therapeutics, Inc. | $151 |
| Amgen Inc. | $135 |
| Lilly USA, LLC | $92 |
| ABBVIE INC. | $82 |
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: 2009-02-16
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 |
|---|---|---|---|---|
| I20090216000389 | I | Nephrology | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 589 | 225 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 474 | 336 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 395 | 63 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 182 | 168 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 147 | 61 | $0 |
Insurance plans in this area (ZIP 62226)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | IL | 90935 | Hemodialysis procedure with one physician evaluation | 198 | 72 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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