Debbie Koch, APN
NPI 1649430190ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Fort Smith, AR
Nurse Practitioner, Psych/Mental Health (APN) with Western Arkansas Counseling and Guidance Center, Inc, practicing in Fort Smith, Arkansas. Their prescriptions cost Medicare Part D more than their services did: $595,519 for 4,159 claims, against $5,329 paid for services in 2024. Alkermes, Inc. was the largest of 7 companies reporting payments in 2025, $507.95 in all, mostly food and beverage.
Overview
| NPI | 1649430190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APN |
| Sole proprietor | No |
| NPI issued | Jun 9, 2008 |
| Last updated in NPPES | Feb 26, 2024 |
| Certified by provider | Feb 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | A03074 | AR |
| Nurse Practitioner, Primary Care | 363LP2300X | A03074 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 74 |
|---|---|
| Services billed | 141 across 3 procedure codes |
| Paid by Medicare | $5,329 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,159 · 4,194 30-day fills |
|---|---|
| Patients | 184 |
| Total drug cost | $595,519 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Western Arkansas Counseling and Guidance Center, IncFort Smith, AR · 55 clinicians
Industry payments (Open Payments)
- 2025$507.95 · 36 payments from 7 companies
- 2024$580.83 · 27 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $177.01 | 10 |
| Abbvie Inc. | $155.94 | 18 |
| Otsuka America Pharmaceutical, Inc. | $76.48 | 3 |
| E.R. Squibb & Sons, L.L.C. | $37.46 | 2 |
| Teva Pharmaceuticals USA, Inc. | $28.11 | 1 |
What the 2025 payments were for
- Food and Beverage$507.95 · 36 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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