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Susan Elise Koch, M.D.

NPI 1912092693ActiveIndividual· Dermatology· Clackamas, OR

Dermatology (M.D.) in Clackamas, Oregon, licensed in OR and WA, with an NPI issued in October 2006. Their prescriptions cost Medicare Part D more than their services did: $429,123 for 884 claims, against $719.89 paid for services in 2024.

Overview

NPI1912092693
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedOct 4, 2006
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000XMD21378OR
Dermatology207N00000XMD00037941WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients12
Services billed32 across 6 procedure codes
Paid by Medicare$719.89

Part D prescriptions in 2024

Prescriptions (claims)884 · 1,034 30-day fills
Patients283
Total drug cost$429,123
Generic share78% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dermatology providers in Clackamas

All Dermatology providers in Oregon →