Active NPI 1881683233 Individual Practitioner Male Practitioner

Dr. Douglas D. Koch , MD

Ophthalmology • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Koch, MD is a certified Ophthalmology practicing in Houston, TX. With approximately 49 years of clinical experience since graduating from Harvard Medical School in 1977, Dr. Koch delivers high-quality medical care to the local community at 6550 FANNIN ST.

Dr. Koch is affiliated with Baylor College Of Medicine and accepts Medicare assignment.

Frequently performed procedures and clinical services include measurement of corneal curvature and depth of eye, established patient outpatient office visit, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6550 Fannin St
Suite 1501

Houston, TX 770302717

Telephone 7137986100

Fax 7137984231

Associated Practice Facility / Clinic

🏢 Colon & Rectal Clinic, P. A. Facility NPI 1245223262

Medicare Profile & Education

Medical School

Harvard Medical School

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +24.1 yrs vs City Avg

City Avg: 24.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

276 Specialists

Practicing in Houston, TX (1616 Statewide)

Telehealth Adoption Rate

1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koch (49 Years) 49 Yrs

Houston Specialty Average (24.9 Years) 24.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	360	154	$105.61	$36.12
99213 Established patient office or other outpatient visit, typically 15 minutes	238	207	$252.00	$92.46
66984 Removal of cataract with insertion of lens	228	141	$2701.00	$542.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	159	$355.00	$130.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$465.00	$171.79
92134 Imaging of retina	121	119	$111.00	$39.96
66821 Removal of recurring cataract in lens capsule using a laser	84	81	$1800.50	$366.69
92025 Ct scan of cornea	32	32	$100.00	$36.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$157.00	$57.95
66982 Complex removal of cataract with insertion of prosthetic lens	16	16	$3702.00	$753.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$311.00	$114.94
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	13	13	$46.00	$16.81
92133 Imaging of optic nerve	12	12	$100.00	$36.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	408	177	$105.66	$36.46
99213 Established patient office or other outpatient visit, typically 15 minutes	279	245	$250.00	$92.50
66984 Removal of cataract with insertion of lens	246	157	$2707.00	$544.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$461.00	$170.32
92134 Imaging of retina	120	116	$112.00	$40.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	109	$354.00	$130.20
66821 Removal of recurring cataract in lens capsule using a laser	90	84	$1748.79	$355.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$157.00	$58.11
92004 New patient complete exam of visual system	24	24	$412.00	$153.04
66982 Complex removal of cataract with insertion of prosthetic lens	23	18	$3706.00	$756.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$311.00	$115.44
66986 Exchange of prosthetic lens	16	15	$4490.00	$916.91
92025 Ct scan of cornea	15	15	$75.00	$37.02
92014 Established patient complete exam of visual system	12	11	$348.00	$129.36
92133 Imaging of optic nerve	12	12	$102.00	$37.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	495	206	$106.73	$39.22
66984 Removal of cataract with insertion of lens	294	185	$2713.00	$554.76
99213 Established patient office or other outpatient visit, typically 15 minutes	279	260	$253.00	$94.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	177	177	$464.00	$173.33
92134 Imaging of retina	163	163	$114.00	$41.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	119	$356.00	$131.26
66821 Removal of recurring cataract in lens capsule using a laser	114	108	$1729.07	$356.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	33	$158.00	$59.10
92025 Ct scan of cornea	36	36	$75.00	$37.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$312.00	$116.73
66986 Exchange of prosthetic lens	15	11	$4505.00	$931.78
66982 Complex removal of cataract with insertion of prosthetic lens	14	12	$3716.00	$766.13
92004 New patient complete exam of visual system	13	13	$418.00	$157.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	467	190	$106.72	$41.87
66984 Removal of cataract with insertion of lens	242	155	$2603.66	$554.10
92134 Imaging of retina	206	199	$110.00	$41.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	180	180	$451.00	$173.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	141	$349.00	$135.97
99213 Established patient office or other outpatient visit, typically 15 minutes	132	118	$245.00	$95.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	92	$153.00	$58.27
66821 Removal of recurring cataract in lens capsule using a laser	93	90	$1690.71	$367.19
92025 Ct scan of cornea	84	81	$75.00	$37.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	77	59	$63.00	$23.96
92014 Established patient complete exam of visual system	49	49	$339.00	$132.88
92004 New patient complete exam of visual system	31	31	$402.00	$158.30
66982 Complex removal of cataract with insertion of prosthetic lens	31	28	$3569.00	$768.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$300.00	$117.87
65400 Removal of growth of cornea	11	11	$3982.73	$864.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	469	191	$128.14	$46.16
66984 Removal of cataract with insertion of lens	262	167	$2842.00	$558.56
92014 Established patient complete exam of visual system	228	213	$360.00	$130.40
92025 Ct scan of cornea	217	195	$75.00	$36.57
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	140	122	$66.00	$24.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	112	$130.00	$47.06
92134 Imaging of retina	132	123	$117.00	$40.52
92004 New patient complete exam of visual system	117	117	$429.00	$157.45
66821 Removal of recurring cataract in lens capsule using a laser	61	56	$1751.55	$353.55
0356T Insertion of drug delivery implant into tear ducts	54	43	$284.00	$104.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$468.00	$169.87
92012 Established patient problem focused exam of visual system	41	40	$253.00	$92.55
66982 Complex removal of cataract with insertion of prosthetic lens	12	12	$3900.00	$762.90
65400 Removal of growth of cornea	12	11	$3868.58	$741.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	416	262	$161.99	$54.91
66984 Removal of cataract with insertion of lens	344	222	$3316.00	$636.06
92014 Established patient complete exam of visual system	229	219	$359.00	$128.30
92134 Imaging of retina	219	195	$117.00	$40.56
92025 Ct scan of cornea	218	212	$75.00	$36.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	208	147	$128.00	$45.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$465.00	$166.21
92004 New patient complete exam of visual system	123	123	$429.00	$154.68
66821 Removal of recurring cataract in lens capsule using a laser	97	87	$1732.24	$342.17
92012 Established patient problem focused exam of visual system	42	41	$251.00	$87.88
66982 Complex removal of cataract with insertion of prosthetic lens	26	23	$4070.88	$779.00
66986 Exchange of prosthetic lens	19	16	$4716.00	$898.52
65400 Removal of growth of cornea	14	14	$3675.75	$729.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	242	212	$211.82	$75.66
92134 Imaging of retina	223	201	$119.00	$41.33
92014 Established patient complete exam of visual system	222	213	$359.00	$128.59
66984 Removal of cataract with insertion of lens	182	126	$3325.00	$635.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	180	145	$125.00	$44.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	175	175	$467.00	$166.67
92025 Ct scan of cornea	163	145	$75.00	$36.64
76519 Ultrasound of eye for determination of lens power	147	133	$112.41	$39.84
66984 Removal of cataract with insertion of lens	122	91	$3325.00	$627.52
66821 Removal of recurring cataract in lens capsule using a laser	94	86	$1732.23	$340.49
92004 New patient complete exam of visual system	69	69	$429.00	$154.06
92012 Established patient problem focused exam of visual system	20	20	$249.00	$89.22
66982 Complex removal of cataract with insertion of prosthetic lens	19	18	$4132.00	$795.97
66982 Complex removal of cataract with insertion of prosthetic lens	15	14	$4269.73	$829.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$306.00	$109.27
65400 Removal of growth of cornea	12	11	$3538.00	$696.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	291	193	$3295.00	$626.34
92025 Ct scan of cornea	287	233	$91.61	$36.20
92014 Established patient complete exam of visual system	232	224	$349.00	$125.14
92134 Imaging of retina	231	211	$116.00	$39.71
92136 Measurement of corneal curvature and depth of eye	209	199	$251.65	$89.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	169	138	$123.00	$43.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	160	160	$463.00	$162.82
76519 Ultrasound of eye for determination of lens power	128	117	$107.46	$38.18
66821 Removal of recurring cataract in lens capsule using a laser	100	87	$1727.88	$336.53
92004 New patient complete exam of visual system	64	64	$420.00	$149.36
92012 Established patient problem focused exam of visual system	38	38	$241.00	$86.38
92133 Imaging of optic nerve	20	19	$106.00	$36.58
66982 Complex removal of cataract with insertion of prosthetic lens	15	15	$4094.00	$795.15
66986 Exchange of prosthetic lens	14	13	$4575.39	$901.07

Medical Specialties & State Licenses

CMS Verified: 2020-11-20

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX F1717

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

134599303 (TX)

Medicaid State Provider ID

134599302 (TX)

Commercial Insurance / Payer ID Blue Link

2317988 (TX)

Commercial Insurance / Payer ID Bc/bs

82W921 (TX)

Hospital & Practice Group Affiliations

Baylor College Of Medicine

7200 Cambridge St, Houston, TX 770304202

Phone: 7137982500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Dr. Rod Foroozan , MD

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NPI 1093704405

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Dr. Masih Ahmed , MD

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Doctor of Medicine (M.D.)

Navnit Mohan

Student in an Organized Health Care Education/Training Program

NPI 1154051548

Dr. Elizabeth Baze , MD

Ophthalmology

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 11, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2007

Registered at 6550 FANNIN ST, SUITE 1501, HOUSTON, TX 770302717 (Tel: 7137986100)

📍

Updated Business Mailing Address December 11, 2007

Registered at PO BOX 4771, HOUSTON, TX 772104771 (Tel: 7137986100)

👤

Provider Name / Credentials Updated December 11, 2007

Recorded as DOUGLAS KOCH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2007

Ophthalmology (License #F1717 in TX)

🟢

Initial NPI Registration & Enumeration October 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881683233

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 18, 2005

Last Update: November 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4771

Houston, TX 772104771

Phone: 7137986100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.