DR. STANLEY W KOCH MD NPI 1467436436

NPI Information

  • NPI: 1467436436
  • Provider Name: DR. STANLEY W KOCH, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 411 MAXINE DR
    MORTON, IL
    ZIP 61550
  • Phone: (309) 263-2411

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NPI Details

DR. Stanley W Koch, MD is a family medicine in Morton, IL with 46 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Stanley W Koch, MD NPI is 1467436436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1979

The provider's business location address is:

411 MAXINE DR
MORTON, IL
ZIP 61550-495
Phone: (309) 263-2411
Fax: (309) 263-2208

The NPI 1467436436 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Blood test, clotting time (HCPCS:85610)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Automated urinalysis test (HCPCS:81003)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 12/2/2005 and was last updated on 8/23/2010.

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
1207Q00000XFamily Medicine036060959ILLINOISYes

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
1211327MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2C41321MEDICARE UPINILLINOIS
3371398455OTHERILLINOISTAX ID#
4371398455MEDICAIDILLINOIS

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: 3/30/2025

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