Paul Koch, MD
NPI 1306953849 · Hospitalist Physician · Madison, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Koch, MD is a Hospitalist Physician provider in Madison, WI (NPI 1306953849).
Provider details
- NPI number
- 1306953849
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 42319 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
342 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 130 | $73 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 52 | $120 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 46 | $110 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 43 | $106 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 36 | $46 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 21 | 20 |
| Pantoprazole Sodium | 19 | 16 |
| Cefuroxime Axetilbrand: Cefuroxime | 15 | 15 |
| Metoprolol Succinate | 15 | 15 |
| Furosemide | 14 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 1121 E North AveColumbia-St Marys Family Medicine ClinicMilwaukee, WI 53212-3515Phone: (414) 267-6500Fax: (414) 267-3895
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Frequently asked questions
- What is Paul Koch's NPI number?
- Paul Koch's National Provider Identifier (NPI) is 1306953849, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Koch's specialty?
- Paul Koch is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Koch located?
- Paul Koch's practice location on file with NPPES is 600 Highland Ave, Madison, WI 53792-3515.
- What is Paul Koch's phone number?
- The practice phone number listed in the NPPES registry for Paul Koch is (608) 263-6400.
- Does Paul Koch accept Medicare?
- Paul Koch is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Koch's NPI active?
- Yes — Paul Koch's NPI (1306953849) is active in the NPPES registry as of the last update on 2025-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.