ETHAN KOCH, MD
Pain Medicine Physician · SAINT CLOUD, MN
Individual Active NPI 1023514007
Medicare payment data Part B · 2023
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2023 | 56 | 440 | $72,266 | $21,291 | $14,637 |
| 2022 | 40 | 75 | $25,798 | $7,516 | $5,988 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ✓ | 71757 | MN |
| Physical Medicine & Rehabilitation Physician | 208100000X | 71757 | MN | |
| General Practice Physician | 208D00000X | 71757 | MN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pain Medicine Physician providers in Minnesota
- NPI 1891055851
- NPI 1962447995
- NPI 1316980386
- NPI 1114506581
- NPI 1114536844
- NPI 1669541702
- NPI 1538736160
- NPI 1124692223
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.