NPI registry status
Active
2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1467478271 MD
Verify on CMS → John Koch, MD
Physical Medicine & Rehabilitation Physician in Green Bay, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 15,306 in Physical Medicine & Rehabilitation Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 196 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
MIPS score
94.6/100
▲ 12 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
John Koch, MD reported a CMS MIPS final score of 94.6/100 - above the 83.1 national average - and filed 1,024 Medicare Part D claims in 2023.
- 94.6/100
- MIPS score · +12 vs avg
- 1K
- Part D claims, 2023
- Likely
- board-certified (heuristic)
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.
John Koch, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 25% higher than 75% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where John Koch, MD sits
This provider among physical medicine & rehabilitation physician peers
Across the 2,781 physical medicine & rehabilitation physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Koch, MD writes more Part D claims than 76% of them and scores higher on MIPS quality than 79% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one physical medicine & rehabilitation physician peer from a representative sample of 60; the gold marker is John Koch, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John Koch, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about John Koch, MD?
High performer (top quartile)Primary specialty
Physical Medicine & Rehabilitation Physician
Medicare Part D claims
1,024 31% vs specialty avg
MIPS final score
94.6/100 11.5 pts vs avg
Specialty distribution in Wisconsin
How Physical Medicine & Rehabilitation Physician compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
John Koch, MD's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average
- MIPS Final Score
- 94.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physical Medicine & Rehabilitation Physician) - 94.6/100 vs national avg 83.1
How MIPS and board certification work
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).
John Koch, MD appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding MD credentials at 1821 S WEBSTER AVE, Green Bay, WI, 54301, with a listed phone of (920) 496-4700. NPI 1467478271 was issued on 07/14/2006.
Medicare Part D records for calendar year 2023 show 1,024 prescription claims written by this provider, covering 196 Medicare beneficiaries and totaling roughly $18K in drug spend, with an opioid prescribing rate of 52.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6/100 for the 2023 performance year (Quality 85.2), compared with the national average of 83.1.
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
Provider Details
| NPI | 1467478271 |
|---|---|
| Specialty | Physical Medicine & Rehabilitation Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/14/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where John Koch, MD 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.
St Vincent Hospital-Hospital Sisters-Third Order OF St Francis
Green Bay, WI
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,024
Total Claims
$18K
Total Drug Cost
196
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,264
- Total Day Supply
- 31,883
- Generic Drug Cost
- $17K
- Opioid Claims
- 541 (52.8% rate)
Patient Demographics
- Average Patient Age
- 74.4 years
- Avg HCC Risk Score
- 1.45
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 31, 65-74: 64, 75-84: 65, 85+: 36
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What John Koch, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tramadol Hcl
Tramadol Hcl
265 claims
- Gabapentin
Gabapentin
261 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
177 claims
- Tizanidine Hcl 44
Tizanidine Hcl
44 claims
- Meloxicam 36
Meloxicam
36 claims
- Pregabalin 33
Pregabalin
33 claims
- Oxycodone-Acetamin… 30
Oxycodone-Acetaminophen
30 claims
- Diclofenac Sodium 23
Diclofenac Sodium
23 claims
| Drug | Claims |
|---|---|
| Tramadol Hcl | 265 |
| Gabapentin | 261 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 177 |
| Tizanidine Hcl | 44 |
| Meloxicam | 36 |
| Pregabalin | 33 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 30 |
| Diclofenac Sodium | 23 |
| Fentanyl | 23 |
| Morphine Sulfate Er Morphine Sulfate | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Physical Medicine & Rehabilitation Physician in WI →
All providers in Wisconsin →
Compare specialties →
Physical Medicine & Rehabilitation Physician Overview
How John 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
John Koch, MD's 1,024 claims are above the specialty average of 781.
Nearby Physical Medicine & Rehabilitation Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Koch.
Dr. Petra Abou Lhosn
MD
Marshfield, WI
Aruba Ahmed
Greenfield, WI
Dr. Brianna Ahner
PT, DPT
Fox Point, WI
Dr. Henry Alba
M.D.
Greenfield, WI
Dr. Lisa Albanese
MD
Woodruff, WI
Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physical Medicine & Rehabilitation Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is John Koch, MD's specialty? ▼
John Koch, MD specializes in Physical Medicine & Rehabilitation Physician and practices in Green Bay, Wisconsin. Credentials: MD.
How much does John Koch, MD prescribe under Medicare Part D? ▼
In 2023, John Koch, MD wrote 1,024 Medicare Part D claims totaling $18K in drug costs for 196 beneficiaries.
What is John Koch, MD's Medicare quality score? ▼
John Koch, MD has a CMS MIPS Final Score of 94.6/100 (Quality: 85.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Koch, MD located? ▼
John Koch, MD is located at 1821 S WEBSTER AVE, Green Bay, WI, 54301. Phone: (920) 496-4700.
What is John Koch, MD's NPI number? ▼
John Koch, MD's National Provider Identifier (NPI) is 1467478271, issued on 07/14/2006.
Does John Koch, MD prescribe opioids? ▼
Yes, John Koch, MD had 541 opioid claims in 2023 with an opioid prescribing rate of 52.8%.
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 John Koch, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, John Koch, MD's most frequently prescribed drugs include Tramadol Hcl, Gabapentin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Koch, MD accept Medicare? ▼
John Koch, MD appears in CMS Medicare data with 1,024 Part D claims and 196 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Koch, MD's credentials? ▼
John Koch, MD's NPI is 1467478271 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
View source datasets and methodology notes
- 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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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
Compiled from official public sources by the PlainDoctor editorial team.