James E. Koch , PA
Physician Assistant • Austin, TX
12001 Cascade Caverns Trl
Austin, TX 787394805
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on December 8, 2006; this date does not establish years in practice.
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Published CMS data list 18 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- G0179 — Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a: 18 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 12 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Losartan Potassium — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: 206. Middle half: 77 to 676.
Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 72 in 2023 to 18 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023–2024.
Practice Location & Contact Primary Location
12001 Cascade Caverns Trl
Austin, TX 787394805
NPPES lists 1 additional practice-address record in Austin, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
17 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $605 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $459 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
30 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$269 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.
Open Payments general payments, program year 2025
All general payments: $6,859.20 across 13 records.
By nature of payment (3 largest of 4)
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $5,400.00 across 3 records.
- Travel and Lodging: $614.06 across 5 records.
- Consulting Fee: $560.00 across 1 record.
Reporting-company totals
- Alkermes, Inc.: $6,746.86 across 12 records.
- Teva Pharmaceuticals USA, Inc.: $112.34 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
James Koch has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists James Koch as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Austin and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: 206. Middle half: 77 to 676.
Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: $15,429. Middle half: $6,251 to $34,330.
A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: $10,844. Middle half: $4,337 to $25,803.
A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for James Koch are from 2023.
607 active clinicians are listed under Physician Assistant with a practice address in Austin, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Austin
15.7% of these 607 clinicians have the CMS telehealth indicator.
47.6% of these 607 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 75% from 72 in 2023 to 18 in 2024.
- 2023: 72
- 2024: 18
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Medicare-allowed amount
Medicare-allowed amount decreased 83% from $3,661 in 2023 to $605 in 2024.
- 2023: $3,661
- 2024: $605
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Paid by Medicare
Paid by Medicare decreased 84% from $2,834 in 2023 to $459 in 2024.
- 2023: $2,834
- 2024: $459
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 99% from 1,028 in 2013 to 12 in 2023.
- 2013: 1,028
- 2014: 456
- 2015: 313
- 2021: 17
- 2023: 12
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30-day fills
30-day fills decreased 97% from 1,100 in 2013 to 30 in 2023.
- 2013: 1,100
- 2014: 624
- 2015: 457
- 2021: 17
- 2023: 30
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Part D drug cost
Part D drug cost decreased 100% from $65,755 in 2013 to $269 in 2023.
- 2013: $65,755
- 2014: $13,494
- 2015: $6,543
- 2021: $1,629
- 2023: $269
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $161.10 in 2021 to $6,859.20 in 2025.
- 2021: $161.10
- 2022: $189.81
- 2023: $2,380.15
- 2024: $3,892.17
- 2025: $6,859.20
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 13 records totaling $6,859.20.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Alkermes, Inc. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
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VIVITROL | General | $1,800.00 |
| Alkermes, Inc. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
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VIVITROL | General | $1,800.00 |
| Alkermes, Inc. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
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VIVITROL | General | $1,800.00 |
| Alkermes, Inc. |
Consulting Fee
Cash or cash equivalent
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VIVITROL | General | $560.00 |
| Alkermes, Inc. |
Travel and Lodging
In-kind items and services
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VIVITROL | General | $409.50 |
| Alkermes, Inc. |
Travel and Lodging
In-kind items and services
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VIVITROL | General | $165.38 |
| Alkermes, Inc. |
Food and Beverage
In-kind items and services
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VIVITROL | General | $124.99 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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AUSTEDO XR | General | $112.34 |
| Alkermes, Inc. |
Food and Beverage
In-kind items and services
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VIVITROL | General | $28.39 |
| Alkermes, Inc. |
Travel and Lodging
In-kind items and services
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VIVITROL | General | $19.60 |
| Alkermes, Inc. |
Food and Beverage
In-kind items and services
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VIVITROL | General | $19.42 |
| Alkermes, Inc. |
Travel and Lodging
In-kind items and services
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VIVITROL | General | $12.00 |
| Alkermes, Inc. |
Travel and Lodging
In-kind items and services
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VIVITROL | General | $7.58 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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G0179
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
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18 | 13 | $80.00 | $33.61 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Losartan Potassium | Losartan Potassium | 12 | 900 | $268.54 | — |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-01-11NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 2084P0800X
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20050810000628
TX
1052398856
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
2200 Park Bend Dr, Bldg 2 Suite 300
Austin, TX 787585387
Phone: 5128365665
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: TX PA03169)
Psychiatry & Neurology (license number reported to NPPES: TX PA03169)
Registered at 12001 CASCADE CAVERNS TRL, AUSTIN, TX 787394805 (Tel: 5127364442)
Registered at 12001 CASCADE CAVERNS TRL, AUSTIN, TX 787394805 (Tel: 5127364442)
NPI status registered as active in NPPES database
Registered at 2200 PARK BEND DR, BLDG 2 SUITE 300, AUSTIN, TX 787585387 (Tel: 5128365665)
Registered at 2200 PARK BEND DR, BLDG 2 SUITE 300, AUSTIN, TX 787585387 (Tel: 5128365665)
Recorded as JAMES KOCH, PA
Physician Assistant (license number reported to NPPES: TX PA03169)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Austin
- Cynthia Uberu, PA-C
- Matthew Moon, PA-C
- Mary Grace Powell, PA-C
- Sara Paul, PA-C
- Erin Oddo, PA-C
- Casey Mcleod, PA
Mailing Address
12001 Cascade Caverns Trl
Austin, TX 787394805
Phone: 5127364442