2026 NPPES data Registered Nurse First Assistant NPI 1861820342 FNP, RNFA
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AGATHA KOCH, FNP, RNFA

Registered Nurse First Assistant in NEW YORK, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
431
Medicare Part D claims · 150 beneficiaries · Registered Nurse First Assistant avg: 419
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$117.67
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: AGATHA KOCH, FNP, RNFA is a Registered Nurse First Assistant ([object Object]) practicing in NEW YORK, New York with a Medicare Part D prescribing footprint of 431 claims across 150 beneficiaries — 13% brand-name prescribing . Industry payments of $117.67 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: AGATHA KOCH, FNP, RNFA filed 431 Medicare Part D claims in 2023 across NEW YORK, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

AGATHA KOCH, FNP, RNFA at a glance

Quality data not reported

NPI registry status

Active

Issued 10/22/2013

NPI 1861820342

Primary specialty

Registered Nurse First Assistant

Niche

2,649 US NPIs in this specialty

Medicare Part D claims

431 3% vs specialty avg

2023 prescription claims

Specialty avg: 419

Specialty distribution in New York

How Registered Nurse First Assistant compares to other specialties among New York providers

New York providers

Registered Nurse First Assistant share within New York

1. Registered Nurse First Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Registered Nurse First Assistant share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Registered Nurse First Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Registered Nurse First Assistant ABMS/AOA estimate

Est. board-certified rate (Registered Nurse First Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Registered Nurse First Assistant) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

AGATHA KOCH, FNP, RNFA is a Registered Nurse First Assistant provider practicing in NEW YORK, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: FNP, RNFA. NPI: 1861820342. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

AGATHA KOCH, FNP, RNFA appears in the CMS NPPES registry as a Registered Nurse First Assistant provider holding FNP, RNFA credentials at 51 E 25TH STREET 6TH FLOOR, NEW YORK, NY, 10010, with a listed phone of (212) 813-3632. NPI 1861820342 was issued on 10/22/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOCH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 431 prescription claims written by this provider, covering 150 Medicare beneficiaries and totaling roughly $162K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 26.7%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Registered Nurse First Assistant is a narrow specialty nationwide, with 2,649 enrolled providers across 50 states and an average of 419 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

51 E 25TH STREET 6TH FLOOR
NEW YORK, NY 10010

Provider Details

NPI 1861820342
Specialty Registered Nurse First Assistant
Credentials FNP, RNFA
Gender Female
NPI Issued 10/22/2013

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for AGATHA KOCH, FNP, RNFA. Source: openpaymentsdata.cms.gov.

Total received

$118

Largest payer

SCILEX PHARMACEUTICALS INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to AGATHA KOCH, FNP, RNFA. To verify AGATHA KOCH, FNP, RNFA's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

AGATHA KOCH, FNP, RNFA — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 431 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

431
Total Claims
$162K
Total Drug Cost
150
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
465
Total Day Supply
13,345
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$88K
Generic Drug Cost
$74K
Opioid Claims
115 (26.7% rate)

Patient Demographics

Average Patient Age
66.5 years
Avg HCC Risk Score
1.35
Gender Split
61% female / 39% male
Age Distribution
<65: 55, 65-74: 62, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Gabapentin
64
Diclofenac Sodium
43
Meloxicam
41
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
41
Lidocaine
34
Cyclobenzaprine Hcl
32
Tramadol Hcl
25
Ztlido
Lidocaine
14
Oxycodone Hcl
11
Pregabalin
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Registered Nurse First Assistant Overview

How AGATHA KOCH, FNP, RNFA fits within the Registered Nurse First Assistant landscape nationally.

2,649
Registered Nurse First Assistant Providers in US
50
States with Registered Nurse First Assistant
419
Avg Claims per Provider

AGATHA KOCH, FNP, RNFA's 431 claims are above the specialty average of 419.

Nearby Registered Nurse First Assistant Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as KOCH.

Compare Registered Nurse First Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is AGATHA KOCH, FNP, RNFA's specialty?
AGATHA KOCH, FNP, RNFA specializes in Registered Nurse First Assistant and practices in NEW YORK, New York. Credentials: FNP, RNFA.
How much does AGATHA KOCH, FNP, RNFA prescribe under Medicare Part D?
In 2023, AGATHA KOCH, FNP, RNFA wrote 431 Medicare Part D claims totaling $162K in drug costs for 150 beneficiaries.
Where is AGATHA KOCH, FNP, RNFA located?
AGATHA KOCH, FNP, RNFA is located at 51 E 25TH STREET 6TH FLOOR, NEW YORK, NY, 10010. Phone: (212) 813-3632.
What is AGATHA KOCH, FNP, RNFA's NPI number?
AGATHA KOCH, FNP, RNFA's National Provider Identifier (NPI) is 1861820342, issued on 10/22/2013.
Does AGATHA KOCH, FNP, RNFA prescribe more brand-name or generic drugs?
AGATHA KOCH, FNP, RNFA's prescribing is 13% brand-name and 87% generic drugs by claim count, with $88K in brand drug costs.
Does AGATHA KOCH, FNP, RNFA prescribe opioids?
Yes, AGATHA KOCH, FNP, RNFA had 115 opioid claims in 2023 with an opioid prescribing rate of 26.7%.
How many Registered Nurse First Assistant providers are there in the US?
There are 2,649 Registered Nurse First Assistant providers across 50 states in the US. The average Registered Nurse First Assistant provider writes 419 Medicare Part D claims per year.
What drugs does AGATHA KOCH, FNP, RNFA prescribe most often?
Based on 2023 Medicare Part D data, AGATHA KOCH, FNP, RNFA's most frequently prescribed drugs include Gabapentin, Diclofenac Sodium, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AGATHA KOCH, FNP, RNFA accept Medicare?
AGATHA KOCH, FNP, RNFA appears in CMS Medicare data with 431 Part D claims and 150 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AGATHA KOCH, FNP, RNFA's credentials?
AGATHA KOCH, FNP, RNFA's NPI is 1861820342 with credentials FNP, RNFA. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology