NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1871534859 M.D.
Verify on CMS → Wayne Koch, M.D.
Otolaryngology Physician in Baltimore, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,060 in Otolaryngology 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
115
Medicare Part D claims · 44 beneficiaries · Otolaryngology Physician avg: 536
MIPS score
75/100
CMS neutral threshold · no category scores published
What the federal data shows
Wayne Koch, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 115 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 115
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥34th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Wayne Koch, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1871534859), first enumerated 06/09/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 115 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1871534859 · Otolaryngology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-NEUTRAL · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1871534859
- ENUM-LEGACY 2006
- TAX-MID 11K Otolaryngology Physician
- MIPS-NEUTRAL 75/100
- RX-LIGHT 115
- BOOK-THIN 254 in Maryland
- PHOTO-ENUM Cecilia Prophit, M.D. · 2006
Wayne Koch, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
115 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Wayne Koch, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Wayne Koch, M.D.?
CMS neutral score, not measuredPrimary specialty
Otolaryngology Physician
Medicare Part D claims
115 79% vs specialty avg
MIPS final score
75/100
Specialty distribution in Maryland
How Otolaryngology Physician compares to other specialties among Maryland providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Practice Address
Provider Details
| NPI | 1871534859 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/09/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Individual
Hospital and facility affiliations
Facilities where Wayne Koch, M.D. 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.
Johns Hopkins University
Baltimore, MD
Johns Hopkins University
Middle River, MD
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 2024.
115
Total Claims
$3K
Total Drug Cost
44
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 125
- Total Day Supply
- 2,545
- Generic Drug Cost
- $3K
- Opioid Claims
- 21 (18.3% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 73.1 years
- Avg HCC Risk Score
- 1.90
- Gender Split
- 39% female / 61% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Wayne Koch, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Levothyroxine Sodium
Levothyroxine Sodium
19 claims
- Oxycodone Hcl
Oxycodone Hcl
16 claims
- Fluconazole
Fluconazole
12 claims
- Nortriptyline Hcl
Nortriptyline Hcl
12 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 19 |
| Oxycodone Hcl | 16 |
| Fluconazole | 12 |
| Nortriptyline Hcl | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How Wayne Koch, M.D. fits within the Otolaryngology Physician landscape nationally.
11,060
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
536
Avg Claims per Provider
Wayne Koch, M.D.'s 115 claims are below the specialty average of 536.
Nationwide Otolaryngology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Koch, both outside Maryland so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Otolaryngology Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Koch.
One of 254 Otolaryngology Physician providers enrolled in Maryland, 5 are shown here.
Dr. Sidrah Ahmad
MD
Salisbury, MD
Dr. Neda Ahmadi
MD
Glen Burnie, MD
Dr. Mostafa Ahmed
MD
Chevy Chase, MD
Dr. Lee Akst
MD
Baltimore, MD
Dr. Perry Alexion
MD
Greenbelt, MD
Compare Otolaryngology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Wayne Koch, M.D.'s specialty? ▼
Wayne Koch, M.D. specializes in Otolaryngology Physician and practices in Baltimore, Maryland. Credentials: M.D..
How much does Wayne Koch, M.D. prescribe under Medicare Part D? ▼
In 2024, Wayne Koch, M.D. wrote 115 Medicare Part D claims totaling $3K in drug costs for 44 beneficiaries.
What is Wayne Koch, M.D.'s Medicare quality score? ▼
Wayne Koch, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Wayne Koch, M.D. located? ▼
Wayne Koch, M.D. is located at 601 N CAROLINE ST, Baltimore, MD, 21287. Phone: (410) 955-1686.
What is Wayne Koch, M.D.'s NPI number? ▼
Wayne Koch, M.D.'s National Provider Identifier (NPI) is 1871534859, issued on 06/09/2006.
Does Wayne Koch, M.D. prescribe opioids? ▼
Yes, Wayne Koch, M.D. had 21 opioid claims in 2024 with an opioid prescribing rate of 18.3%.
How many Otolaryngology Physician providers are there in the US? ▼
There are 11,060 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 536 Medicare Part D claims per year.
What drugs does Wayne Koch, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Wayne Koch, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Oxycodone Hcl, Fluconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Wayne Koch, M.D. accept Medicare? ▼
Wayne Koch, M.D. appears in CMS Medicare data with 115 Part D claims and 44 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Wayne Koch, M.D.'s credentials? ▼
Wayne Koch, M.D.'s NPI is 1871534859 with credentials M.D.. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.