2026 NPPES data Primary Care Nurse Practitioner NPI 1649430190 APN
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DEBBIE KOCH, APN

Primary Care Nurse Practitioner in FORT SMITH, Arkansas. 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
6K
Medicare Part D claims · 171 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$580.83
27 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DEBBIE KOCH, APN filed 6,490 Medicare Part D claims in 2023 as a Primary Care Nurse Practitioner in FORT SMITH, Arkansas, prescribing 94% generic.

6K
Part D claims, 2023
94%
generic prescribing
$580.83
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DEBBIE KOCH, APN's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

6,490 Top 4% higher than 96% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about DEBBIE KOCH, APN?

Quality data not reported

NPI registry status

Active

Issued 06/09/2008

NPI 1649430190

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

6,490 376% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

Specialty distribution in Arkansas

How Primary Care Nurse Practitioner compares to other specialties among Arkansas providers

Arkansas providers

Primary Care Nurse Practitioner share within Arkansas

1. Primary Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Primary Care Nurse Practitioner share within Arkansas

Specialty board-certification context

Estimated specialty board-certified rate — Primary Care Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Primary Care Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Primary Care Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Primary Care Nurse Practitioner) — 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).

DEBBIE KOCH, APN appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding APN credentials at 3111 S 70TH ST, FORT SMITH, AR, 72903, with a listed phone of (479) 452-6650. NPI 1649430190 was issued on 06/09/2008. 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 6,490 prescription claims written by this provider, covering 171 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 6% brand-name and 94% generic by claim count. 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.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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

3111 S 70TH ST
FORT SMITH, AR 72903

Provider Details

NPI 1649430190
Specialty Primary Care Nurse Practitioner
Credentials APN
Gender Female
NPI Issued 06/09/2008

Hospital and facility affiliations

Facilities where DEBBIE KOCH, APN bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER, INC
FORT SMITH, AR

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 DEBBIE KOCH, APN. Source: openpaymentsdata.cms.gov.

Total received

$581

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Generic-heavy

DEBBIE KOCH, APN — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 6,490 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.

6,490
Total Claims
$1.0M
Total Drug Cost
171
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,527
Total Day Supply
113,443
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$873K
Generic Drug Cost
$148K

Patient Demographics

Average Patient Age
50.2 years
Avg HCC Risk Score
1.26
Gender Split
39% female / 61% male
Age Distribution
<65: 148, 65-74: 21, 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.

What DEBBIE KOCH, APN prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Benztropine Mesylate
660
Olanzapine
524
Divalproex Sodium
484
Risperidone
373
Hydroxyzine Pamoate
342
Escitalopram Oxalate
335
Trazodone Hcl
282
Quetiapine Fumarate
233
Sertraline Hcl
211
Prazosin Hcl
205

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

Primary Care Nurse Practitioner Overview

How DEBBIE KOCH, APN fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

DEBBIE KOCH, APN's 6,490 claims are above the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Arkansas

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

Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is DEBBIE KOCH, APN's specialty?
DEBBIE KOCH, APN specializes in Primary Care Nurse Practitioner and practices in FORT SMITH, Arkansas. Credentials: APN.
How much does DEBBIE KOCH, APN prescribe under Medicare Part D?
In 2023, DEBBIE KOCH, APN wrote 6,490 Medicare Part D claims totaling $1.0M in drug costs for 171 beneficiaries.
Where is DEBBIE KOCH, APN located?
DEBBIE KOCH, APN is located at 3111 S 70TH ST, FORT SMITH, AR, 72903. Phone: (479) 452-6650.
What is DEBBIE KOCH, APN's NPI number?
DEBBIE KOCH, APN's National Provider Identifier (NPI) is 1649430190, issued on 06/09/2008.
Does DEBBIE KOCH, APN prescribe more brand-name or generic drugs?
DEBBIE KOCH, APN's prescribing is 6% brand-name and 94% generic drugs by claim count, with $873K in brand drug costs.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does DEBBIE KOCH, APN prescribe most often?
Based on 2023 Medicare Part D data, DEBBIE KOCH, APN's most frequently prescribed drugs include Benztropine Mesylate, Olanzapine, Divalproex Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DEBBIE KOCH, APN accept Medicare?
DEBBIE KOCH, APN appears in CMS Medicare data with 6,490 Part D claims and 171 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DEBBIE KOCH, APN's credentials?
DEBBIE KOCH, APN's NPI is 1649430190 with credentials APN. 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