DR. NICHOLAS JAMES KOCH (M.D.) – Emergency Medicine Physician, NPI 1912326836
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
169 EMERGENCY MEDICINE in VT
Provider Addresses for DR. NICHOLAS JAMES KOCH (M.D.)
111 COLCHESTER AVE
BURLINGTON, VT 054011473
Phone:
Type: Mailing
2708 FOOTHILL BLVD # 1014
LA CRESCENTA, CA 912143516
Phone:
Type: Mailing
915 ANDERSON DR
ABERDEEN, WA 985201006
Phone: (360) 532-8330
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: 2026-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20220714004059 | I | Emergency Medicine | CA | TBD |
| I20230321001863 | I | Emergency Medicine | WY | TBD |
| I20230714002280 | I | Emergency Medicine | WA | TBD |
| I20241113003889 | I | Emergency Medicine | ND | TBD |
| I20250805003344 | I | Emergency Medicine | MT | TBD |
| I20250827002804 | I | Emergency Medicine | NV | TBD |
| I20251203003200 | I | Emergency Medicine | KY | TBD |
| I20260105003255 | I | Emergency Medicine | OK | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 132 | 126 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 76 | 71 | $0 |
| 99291 | Critical care, first 30-74 minutes | 71 | 66 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 23 | 21 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 15 | 13 | $0 |
Insurance plans in this area (ZIP 05401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | MT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MT | |
| - | WA | |
| Emergency Medicine | TN | |
| U R O L O G Y | SC | |
| - | MT | |
| Radiation Oncology | WY | |
| Orthopedic Surgery | CA | |
| Emergency Medicine | MT | |
| Nurse Practitioner | MT |
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