CODY A KOCH MD PHD NPI 1316149925

NPI Information

  • NPI: 1316149925
  • Provider Name: CODY A KOCH, MD, PHD
  • Classification: Plastic Surgery - 2082S0099X
  • Specialization: Plastic Surgery Within the Head and Neck
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4855 MILLS CIVIC PKWY
    WEST DES MOINES, IA
    ZIP 50265
  • Phone: (515) 277-5555

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NPI Details

Cody A Koch, MD, PHD is a plastic surgery within the head and neck plastic surgery in West Des Moines, IA with 19 years of experience. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. Cody A Koch, MD, PHD NPI is 1316149925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MAYO MEDICAL SCHOOL
Graduation Year:2007

The provider's business location address is:

4855 MILLS CIVIC PKWY
WEST DES MOINES, IA
ZIP 50265-268
Phone: (515) 277-5555

The NPI 1316149925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Revita, per square centimeter (HCPCS:Q4180)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15004)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Repair of brow paralysis (HCPCS:67900)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/5/2007 and was last updated on 11/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck40814IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10293193OTHERWASHINGTONL&I
21316149925MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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