ROBERT HERMAN KOCH (M.D.) – Family Medicine Physician, NPI 1568409142
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROBERT HERMAN KOCH (M.D.)
516 JACKSON RD
BOONVILLE, MO 652332845
Phone: (660) 882-3585
Fax: (660) 882-3709
Type: Location
Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
308, Church Street, Central Business District, Lexington, Fayette County, Kentucky, 40507, United States
FAYETTE, MO 652481243
Phone: (660) 248-2217
Fax: (660) 248-3450
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($63).
Total Amount
$125
General + Research + Ownership
Payments
8
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $63 |
| AstraZeneca Pharmaceuticals LP | $33 |
| Exact Sciences Corporation | $29 |
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: 2010-06-01
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 |
|---|---|---|---|---|
| I20100601000198 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 538 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 364 | 199 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 134 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 56 | 52 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 31 | 30 | $0 |
Insurance plans in this area (ZIP 65233)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| General Surgery | MO | |
| Family Practice | MO | |
| Psychiatry, Neurology | MO | |
| - | MO | |
| - | MO | |
| - | OH | |
| Family Practice | MO | |
| - | WA | |
| Diagnostic Radiology | MO |
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