Paul E Koch (NPI# 1124060041, PAC ID# 6709835762) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1124060041 |
| PAC ID by PECOS | 6709835762 |
| Professional Enrollment ID | I20050117000275 |
| Full Name | Paul E Koch |
| Address |
476999 Hwy 95 Ponderay ID 83852-9738 |
| Gender | M |
| Credential | OD |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1983 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 476999 Hwy 95, Ponderay, ID 83852-9738 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
476999 HWY 95 |
| City | PONDERAY |
| State | ID |
| Zip | 83852-9738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce W Demko | Certified Registered Nurse Anesthetist (crna) | 30544 Hwy 200 201, Ponderay, ID 83852-5005 | |
| Joan M Bloom | Family Medicine | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| K Garrett Fischer | Physical Therapy | Kauai In-home Therapy LLC | 30544 Hwy 200, Ponderay, ID 83852-5005 |
| Travis L Taylor | Nurse Practitioner | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Lindsey M Ruppel | Family Medicine | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Michael R Di Benedetto | Orthopedic Surgery | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Michael D Schicker | Orthopedic Surgery | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Jonathan D Fisher | Podiatry | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Darwin L Hurst | Nurse Practitioner | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Jonathan Roy Gardunia | Physical Therapy | Kauai In-home Therapy LLC | 30544 Hwy 200, Ponderay, ID 83852-5005 |
| Find all physicians in zip 83852 | |||
| City | PONDERAY |
| Zip Code | 83852 |
| Specialty | OPTOMETRY |
| City + Specialty | PONDERAY + OPTOMETRY |
Please comment or provide details below to improve the information on Paul E Koch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.