2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1023514007 MD
Verify on CMS →

ETHAN KOCH, MD

Physical Medicine & Rehabilitation Physician in SAINT CLOUD, Minnesota. 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
85
Medicare Part D claims · 22 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Industry payments
$104.68
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ETHAN KOCH, MD is a Physical Medicine & Rehabilitation Physician ([object Object]) practicing in SAINT CLOUD, Minnesota with a Medicare Part D prescribing footprint of 85 claims across 22 beneficiaries . Industry payments of $104.68 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ETHAN KOCH, MD filed 85 Medicare Part D claims in 2023 across SAINT CLOUD, Minnesota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

ETHAN KOCH, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

ETHAN KOCH, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/30/2018

NPI 1023514007

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

85 89% vs specialty avg

2023 prescription claims

Specialty avg: 781

Specialty distribution in Minnesota

How Physical Medicine & Rehabilitation Physician compares to other specialties among Minnesota providers

Minnesota providers

Physical Medicine & Rehabilitation Physician share within Minnesota

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Minnesota

Specialty board-certification context

Estimated specialty board-certified rate — Physical Medicine & Rehabilitation Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physical Medicine & Rehabilitation Physician ABMS/AOA estimate

Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — 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).

ETHAN KOCH, MD is a Physical Medicine & Rehabilitation Physician provider practicing in SAINT CLOUD, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1023514007. 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.

ETHAN KOCH, MD appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding MD credentials at 4801 VETERANS DR, SAINT CLOUD, MN, 56303, with a listed phone of (320) 252-1670. NPI 1023514007 was issued on 03/30/2018. 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 85 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $949 in drug spend. 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.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

4801 VETERANS DR
SAINT CLOUD, MN 56303

Provider Details

NPI 1023514007
Specialty Physical Medicine & Rehabilitation Physician
Credentials MD
Gender Male
NPI Issued 03/30/2018

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 ETHAN KOCH, MD. Source: openpaymentsdata.cms.gov.

Total received

$105

Largest payer

SI-BONE, 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.

Medicare Part D Prescribing Data

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

85
Total Claims
$949
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
90
Total Day Supply
2,035
Generic Drug Cost
$932

Patient Demographics

Average Patient Age
61.1 years
Avg HCC Risk Score
1.71
Gender Split
50% female / 50% male

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
20
Meloxicam
20
Methocarbamol
18
Trazodone Hcl
16

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

Physical Medicine & Rehabilitation Physician Overview

How ETHAN KOCH, MD fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

ETHAN KOCH, MD's 85 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Minnesota

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ETHAN KOCH, MD's specialty?
ETHAN KOCH, MD specializes in Physical Medicine & Rehabilitation Physician and practices in SAINT CLOUD, Minnesota. Credentials: MD.
How much does ETHAN KOCH, MD prescribe under Medicare Part D?
In 2023, ETHAN KOCH, MD wrote 85 Medicare Part D claims totaling $949 in drug costs for 22 beneficiaries.
Where is ETHAN KOCH, MD located?
ETHAN KOCH, MD is located at 4801 VETERANS DR, SAINT CLOUD, MN, 56303. Phone: (320) 252-1670.
What is ETHAN KOCH, MD's NPI number?
ETHAN KOCH, MD's National Provider Identifier (NPI) is 1023514007, issued on 03/30/2018.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does ETHAN KOCH, MD prescribe most often?
Based on 2023 Medicare Part D data, ETHAN KOCH, MD's most frequently prescribed drugs include Gabapentin, Meloxicam, Methocarbamol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ETHAN KOCH, MD accept Medicare?
ETHAN KOCH, MD appears in CMS Medicare data with 85 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ETHAN KOCH, MD's credentials?
ETHAN KOCH, MD's NPI is 1023514007 with credentials MD. 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