Medicare Enrolled

Dr. Lindsey Koach, DNP

Nurse Practitioner - Primary Care · Franklin, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1830 LAKESIDE DR, Franklin, NC 28734
8283492085
In practice since 2021 (4 years)
NPI: 1255007357 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Koach from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Koach? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Koach

Dr. Lindsey Koach is a nurse practitioner - primary care in Franklin, NC, with 4 years of NPI registration. Based on federal Medicare data, Dr. Koach performed 2,668 Medicare services across 1,663 unique beneficiaries.

Between the years covered by Open Payments, Dr. Koach received a total of $1,992 from 28 pharmaceutical and/or device companies across 119 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - primary care. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Koach is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 4 years in practice ▲ Top 3% volume in NC $1,992 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,668
Medicare services
Top 3% in NC for nurse practitioner - primary care
1,663
Unique beneficiaries
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~667 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Destruction of precancerous skin growths, 2-14
This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer.
1,088 $4 $20
Destruction of precancerous skin growth, 1
Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer.
323 $29 $120
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
278 $53 $165
Skin biopsy, tangential
A procedure to remove a sample of the first identified skin growth for laboratory examination.
215 $55 $188
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
173 $66 $202
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
158 $36 $103
Destruction of skin growths (warts/lesions), 1-14
This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface.
146 $66 $275
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
95 $1 $8
Additional skin growth biopsy
Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session.
84 $31 $95
Destruction of 15 or more precancerous skin growths
This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer.
39 $107 $297
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
31 $45 $187
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
20 $9 $43
Ear tissue biopsy
A procedure to remove a small sample of tissue from the ear for laboratory examination.
18 $46 $178
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,992
Total received (2021-2024)
Avg $498/year across 4 years
Top 16% in NC for nurse practitioner - primary care
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
119
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,992 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$163
2023
$451
2022
$1,322
2021
$56

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Dermavant Sciences, Inc.
$95
E.R. Squibb & Sons, L.L.C.
$31
Janssen Biotech, Inc.
$21
UCB, Inc.
$16
Top 3 companies account for 90.3% of 2024 payments
All-time payments by company (2021-2024) ›
Novo Nordisk Inc
$348
ABBVIE INC.
$333
Boehringer Ingelheim Pharmaceuticals, Inc.
$156
Lilly USA, LLC
$132
SANOFI-AVENTIS U.S. LLC
$122
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$99
Novartis Pharmaceuticals Corporation
$99
Bayer HealthCare Pharmaceuticals Inc.
$97
Dermavant Sciences, Inc.
$95
Amgen Inc.
$85
Janssen Pharmaceuticals, Inc
$49
AstraZeneca Pharmaceuticals LP
$44
E.R. Squibb & Sons, L.L.C.
$31
PFIZER INC.
$30
Otsuka America Pharmaceutical, Inc.
$30
Biohaven Pharmaceutical Holding Company Ltd.
$28
AbbVie Inc.
$26
Nestle HealthCare Nutrition Inc.
$25
Exact Sciences Corporation
$21
Janssen Biotech, Inc.
$21
Esperion Therapeutics, Inc.
$19
UCB, Inc.
$16
Takeda Pharmaceuticals U.S.A., Inc.
$16
Shield Therapeutics Inc
$15
Paratek Pharmaceuticals, Inc.
$15
Merck Sharp & Dohme LLC
$14
IBSA Pharma Inc.
$14
Corium, LLC
$12
Top 3 companies account for 42.0% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AZSTARYS · BOTOX · BREZTRI · Bimzelx · Cologuard Collection Kit · EMGALITY · EVENITY · FARXIGA · JARDIANCE · Kerendia · LEQVIO · LINZESS · NEXLETOL · NURTEC ODT · NUZYRA · Otezla · Ozempic · PREMARIN · REXULTI · RINVOQ · Repatha · Rybelsus · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · Saxenda · Sotyktu · TRADJENTA · TREMFYA · TRINTELLIX · TRULICITY · Tirosint · UBRELVY · VRAYLAR · VTAMA · Wegovy · XARELTO · XIFAXAN · ZENPEP
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a nurse practitioner - primary care in Franklin?
Compare nurse practitioner - primary cares in the Franklin area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Nurse practitioner - primary cares within 10 mi
5
Per 100K population
13.3
County median income
$53,298
Nearest hospital
ANGEL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Koach is a clinical cardiology specialist, with above-average Medicare volume (top 3% in NC), with low-engagement industry engagement in the top 16% of NC peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Koach experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Koach performed 1,088 destruction of precancerous skin growths, 2-14 services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Koach receive payments from pharmaceutical companies?
Yes. Dr. Koach received a total of $1,992 from 28 companies across 119 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Koach's costs compare to other nurse practitioner - primary cares in Franklin?
Dr. Koach's average Medicare payment per service is $29. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Koach) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →