NPPES file of Aug 9, 2026

Karen Sue Koch, DO

Family Medicine Physician · Helena, MT

Karen Sue Koch, DO is a family medicine physician with a practice address in Helena, Montana, and NPI 1457359549, issued on Jul 12, 2005. Check the license (Montana 144976, as entered in NPPES) on the Montana Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1457359549
Name
Karen Sue Koch
Credential
DO
Primary taxonomy
Family Medicine Physician 207Q00000X
License numbers
144976 MT
02002663A IN
Self-reported in NPPES; status is on the state search
Practice location
1645 Vandelay Ave Ste 301, Helena, MT 59601
Phone
(406) 731-8888
Enumerated
Jul 12, 2005
Record last updated
Sep 17, 2024
Fax
(406) 731-8318
Medicaid ID
200453670 IN
Medicare enrollment
Enrolled (PECOS I20240924004320); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1645 Vandelay Ave Ste 301

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Daniel Bothwell, D.O.Family Medicine Physician1053762583
  2. Aaron Cross, D.O.Pain Medicine (Physical Medicine & Rehabilitation) Physician1053790501
  3. Chase Dukes, MDOrthopaedic Surgery Physician1518205822
  4. Caitlin Klaassen, PAPhysician Assistant1093438756
  5. Andrew Lester, DOFamily Medicine Physician1518455781
  6. John McHenry, M.D.Cardiovascular Disease Physician1750365193

Verify Karen Sue Koch in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMontana Board of Medical Examiners
    Search for license 144976
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Montana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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4% fewer Medicare Part D claims than the average family medicine physician in 2024

3,416 Medicare Part D claims for 407 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 105 claims were for opioids.

  1. Karen Koch3,416
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium180 claims
  2. Levothyroxine Sodium134 claims
  3. Lisinopril120 claims
  4. Amlodipine Besylate112 claims
  5. Pantoprazole Sodium87 claims
  6. Omeprazole80 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 47.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score73.1
  2. Costout of 100 · 30%36.4
  3. Promoting interoperabilityout of 100 · 25%0.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

One hospital affiliation

  1. Benefis Hospitals IncHelena, MT · Acute Care Hospitals2 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

48 family medicine physician records list a practice address in Helena

They are 48 of the 1,591 NPPES records with a practice address in Helena, and 775 family medicine physician records in Montana.

Other family medicine physician records in Montana

  1. Marc Adams, MDShelby, MT1265449482
  2. Dale Agner, M.D.Billings, MT1861486490
  3. Marjorie AlbersMiles City, MT1174029086
  4. Brandon Allen, MDEnnis, MT1215499421
  5. Hans Amen, D.O.Malmstrom Afb, MT1538426507
  6. Beth Ammons, MDMissoula, MT1780623926
  7. Bjorn Anderson, DOStevensville, MT1770146037
  8. Emily AndersonRonan, MT1750744942
  9. Jonathan Anderson, MDKalispell, MT1356397533
  10. Leah Anderson, M.D.Bozeman, MT1851504195

Common questions

What is Karen Sue Koch, DO's NPI number?

Karen Sue Koch, DO's National Provider Identifier (NPI) is 1457359549, issued on Jul 12, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Karen Sue Koch, DO located?

The NPPES record lists a practice address at 1645 Vandelay Ave Ste 301, Helena, MT, 59601. Phone: (406) 731-8888. Providers update this record themselves, so call before visiting.

How can I verify Karen Sue Koch, DO's license?

NPPES lists Montana license number 144976, as entered by the provider. Search the Montana Board of Medical Examiners at https://ebiz.mt.gov/POL/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Karen Sue Koch, DO prescribe under Medicare Part D?

In 2024, Karen Sue Koch, DO had 3,416 Medicare Part D claims for 407 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Karen Sue Koch, DO's MIPS final score?

The 2023 MIPS final score is 47.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.