DR. HANNAH DEGROOT KOCH (OD) – Optometrist, NPI 1073318424

DR. HANNAH DEGROOT KOCH (OD) is a healthcare provider. based in Indianapolis, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004556A (IN). The NPI Number for DR. HANNAH DEGROOT KOCH (OD) is 1073318424

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. HANNAH DEGROOT KOCH (OD)
NPI
1073318424
Phone
Not provided
Address
2835 LAFAYETTE RD
Enumeration Date
18 February 2025
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
7654575384
Graduation Year
2023 (3 years ago)
PAC ID
9537689062
Group Practice PAC ID
5597668574
Professional Enrollment ID
I20250226003792
Address ID
IN469021901KO1164XSTXX300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for DR. HANNAH DEGROOT KOCH (OD)

  • 2835 LAFAYETTE RD

    INDIANAPOLIS, IN 462222147

    Phone:

    Type: Mailing

  • 1164 17TH ST

    KOKOMO, IN 469021901

    Phone: (765) 457-5384

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-26

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
I20250226003792IOptometryINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46222)

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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: 5597668574View full group profile
NameSpecialtyState
-IN
O P T O M E T R YIN
O P T O M E T R YIL
O P T O M E T R YTN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
-TX
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

Does DR. HANNAH DEGROOT KOCH (OD) have a public NPI I can cite?
Public records show DR. HANNAH DEGROOT KOCH (OD) under NPI 1073318424.
Is DR. HANNAH DEGROOT KOCH (OD) currently accepting referrals based on NPI status?
Registry metadata lists DR. HANNAH DEGROOT KOCH (OD) as active.
How should patients interpret DR. HANNAH DEGROOT KOCH (OD)'s specialty?
The extract shows Optometrist for DR. HANNAH DEGROOT KOCH (OD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. HANNAH DEGROOT KOCH (OD)?
DR. HANNAH DEGROOT KOCH (OD) is associated with Indianapolis, Indiana in the same public data insurers reference.
Can I export DR. HANNAH DEGROOT KOCH (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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