Healthcare provider profile · identity verified

Kristopher Robert Koch, MD,MPH

Internal Medicine · SAN ANTONIO, TX · NPI 1174985352

Profile state: partd only Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

We did not find matching Open Payments records for this doctor in 2025.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

We did not find matching Open Payments records for this doctor in the selected program year.

Separate record types

Research & Ownership

Research Payments (direct recipient): not present in the loaded data

Associated Research Funding (for example, named PI): not present in the loaded data

Ownership / Investment: not present in the loaded data

These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.

Analysis 1 · Payment-linked products

Products named in Open Payments records

No payment-linked product analysis is available because no matching General Payment records were found for the selected year.

Public prescribing for products named in payments

There is no explicit payment-product set available for a Part D comparison.

The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.

Analysis 2 · Same-company prescribing overlap

Drugs reported in other payments from the same company that also appear in Medicare Part D

This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.

There is no payer-company set available for this comparison.

These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.

Public Medicare Part D data

Provider-and-drug rows loaded for 2024

Brand	Generic	Claims	Beneficiaries
Atorvastatin Calcium	Atorvastatin Calcium	586	189
Rosuvastatin Calcium	Rosuvastatin Calcium	417	138
Levothyroxine Sodium	Levothyroxine Sodium	389	119
Lisinopril	Lisinopril	378	124
Losartan Potassium	Losartan Potassium	361	114
Amlodipine Besylate	Amlodipine Besylate	321	110
Metformin Hcl	Metformin Hcl	276	100
Gabapentin	Gabapentin	265	94
Tramadol Hcl	Tramadol Hcl	239	72
Omeprazole	Omeprazole	221	78
Prednisone	Prednisone	220	153
Duloxetine Hcl	Duloxetine Hcl	176	65
Pantoprazole Sodium	Pantoprazole Sodium	172	63
Montelukast Sodium	Montelukast Sodium	169	55
Hydrochlorothiazide	Hydrochlorothiazide	168	61
Escitalopram Oxalate	Escitalopram Oxalate	161	60
Baclofen	Baclofen	158	46
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	157	54
Albuterol Sulfate Hfa	Albuterol Sulfate	152	60
Trazodone Hcl	Trazodone Hcl	151	61
Metoprolol Succinate	Metoprolol Succinate	147	53
Fluticasone Propionate	Fluticasone Propionate	135	55
Jardiance	Empagliflozin	133	46
Tamsulosin Hcl	Tamsulosin Hcl	130	49
Ibuprofen	Ibuprofen	129	74
Carvedilol	Carvedilol	121	47
Trulicity	Dulaglutide	117	34
Pravastatin Sodium	Pravastatin Sodium	112	35
Tizanidine Hcl	Tizanidine Hcl	106	34
Metformin Hcl Er	Metformin Hcl	100	35
Bupropion Xl	Bupropion Hcl	88	34
Finasteride	Finasteride	88	32
Simvastatin	Simvastatin	85	30
Pregabalin	Pregabalin	84	28
Clonazepam	Clonazepam	81	26
Sertraline Hcl	Sertraline Hcl	79	27
Acetaminophen-Codeine	Acetaminophen With Codeine	78	24
Furosemide	Furosemide	76	32
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	76	28
Glipizide	Glipizide	75	26
Alendronate Sodium	Alendronate Sodium	74	24
Clopidogrel	Clopidogrel Bisulfate	72	28
Eliquis	Apixaban	72	26
Doxycycline Monohydrate	Doxycycline Monohydrate	67	52
Alprazolam	Alprazolam	65	19
Pioglitazone Hcl	Pioglitazone Hcl	64	23
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	61	44
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	59	17
Spironolactone	Spironolactone	58	23
Metoprolol Tartrate	Metoprolol Tartrate	57	22
Meloxicam	Meloxicam	56	16
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	55	51
Buspirone Hcl	Buspirone Hcl	55	19
Oxybutynin Chloride	Oxybutynin Chloride	55	18
Torsemide	Torsemide	54	23
Zolpidem Tartrate	Zolpidem Tartrate	54	suppressed
Diclofenac Sodium	Diclofenac Sodium	53	19
Cephalexin	Cephalexin	52	39
Ezetimibe	Ezetimibe	52	22
Ondansetron Odt	Ondansetron	51	24
Triamcinolone Acetonide	Triamcinolone Acetonide	49	28
Potassium Chloride	Potassium Chloride	48	19
Nifedipine Er	Nifedipine	46	18
Bydureon Bcise	Exenatide Microspheres	45	18
Famotidine	Famotidine	45	18
Lorazepam	Lorazepam	44	suppressed
Esomeprazole Magnesium	Esomeprazole Magnesium	43	12
Ketoconazole	Ketoconazole	43	21
Celecoxib	Celecoxib	41	14
Citalopram Hbr	Citalopram Hydrobromide	40	12
Enalapril Maleate	Enalapril Maleate	40	14
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	40	16
Vitamin D2	Ergocalciferol (Vitamin D2)	40	16
Temazepam	Temazepam	39	suppressed
Allopurinol	Allopurinol	38	11
Myrbetriq	Mirabegron	38	11
Hydroxyzine Hcl	Hydroxyzine Hcl	36	16
Ipratropium Bromide	Ipratropium Bromide	36	28
Propranolol Hcl	Propranolol Hcl	35	15
Alcohol Pads	Alcohol Antiseptic Pads	34	suppressed
Warfarin Sodium	Warfarin Sodium	34	suppressed
Symbicort	Budesonide/Formoterol Fumarate	33	11
Atenolol	Atenolol	32	11
Mounjaro	Tirzepatide	32	suppressed
Paxlovid	Nirmatrelvir/Ritonavir	32	31
Lantus	Insulin Glargine,hum.Rec.Anlog	31	suppressed
Quetiapine Fumarate	Quetiapine Fumarate	31	18
Valsartan	Valsartan	30	suppressed
Lamotrigine	Lamotrigine	29	suppressed
Diazepam	Diazepam	28	suppressed
Dicyclomine Hcl	Dicyclomine Hcl	28	16
Donepezil Hcl	Donepezil Hcl	28	suppressed
Mirtazapine	Mirtazapine	28	14
Ozempic	Semaglutide	27	suppressed
Toujeo Solostar	Insulin Glargine,hum.Rec.Anlog	27	suppressed
Venlafaxine Hcl Er	Venlafaxine Hcl	27	suppressed
Benazepril Hcl	Benazepril Hcl	26	suppressed
Bupropion Hcl Sr	Bupropion Hcl	26	suppressed
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	26	14
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	26	suppressed
Levocetirizine Dihydrochloride	Levocetirizine Dihydrochloride	25	suppressed
Mometasone Furoate	Mometasone Furoate	25	suppressed
Risperidone	Risperidone	25	suppressed
Fluoxetine Hcl	Fluoxetine Hcl	24	suppressed
Naproxen	Naproxen	24	suppressed
Topiramate	Topiramate	24	suppressed
Amlodipine Besylate-Benazepril	Amlodipine Besylate/Benazepril	22	suppressed
Estradiol	Estradiol	22	suppressed
Azithromycin	Azithromycin	21	17
Terbinafine Hcl	Terbinafine Hcl	21	14
Isosorbide Mononitrate Er	Isosorbide Mononitrate	20	suppressed
Nortriptyline Hcl	Nortriptyline Hcl	20	suppressed
Alfuzosin Hcl Er	Alfuzosin Hcl	19	suppressed
Amoxicillin	Amoxicillin	19	19
Fluconazole	Fluconazole	19	16
Folic Acid	Folic Acid	19	suppressed
Lovastatin	Lovastatin	19	suppressed
Methocarbamol	Methocarbamol	19	suppressed
Sumatriptan Succinate	Sumatriptan Succinate	19	suppressed
Testosterone Cypionate	Testosterone Cypionate	19	suppressed
Levetiracetam	Levetiracetam	18	suppressed
Olmesartan Medoxomil	Olmesartan Medoxomil	18	suppressed
Sucralfate	Sucralfate	18	suppressed
Valacyclovir	Valacyclovir Hcl	18	suppressed
Primidone	Primidone	17	suppressed
Synthroid	Levothyroxine Sodium	17	suppressed
Ciprofloxacin Hcl	Ciprofloxacin Hcl	16	15
Glipizide Er	Glipizide	16	suppressed
Wixela Inhub	Fluticasone Propion/Salmeterol	16	suppressed
Amitriptyline Hcl	Amitriptyline Hcl	15	suppressed
Humalog Kwikpen U-100	Insulin Lispro	15	suppressed
Januvia	Sitagliptin Phosphate	15	suppressed
Chlorthalidone	Chlorthalidone	14	suppressed
Memantine Hcl	Memantine Hcl	14	suppressed
Oxybutynin Chloride Er	Oxybutynin Chloride	14	suppressed
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	13	suppressed
Mupirocin	Mupirocin	13	suppressed
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	13	suppressed
Azelastine Hcl	Azelastine Hcl	12	suppressed
Easy Comfort Pen Needle	Pen Needle, Diabetic	12	suppressed
Hydralazine Hcl	Hydralazine Hcl	12	suppressed
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	12	suppressed
Janumet	Sitagliptin Phos/Metformin Hcl	12	suppressed
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	12	suppressed
Meclizine Hcl	Meclizine Hcl	12	suppressed
Nano 2nd Gen Pen Needle	Pen Needle, Diabetic	12	suppressed
Ropinirole Hcl	Ropinirole Hcl	12	suppressed
Sildenafil Citrate	Sildenafil Citrate	12	suppressed
Breo Ellipta	Fluticasone/Vilanterol	11	suppressed
Clobetasol Propionate	Clobetasol Propionate	11	suppressed
Clonidine Hcl	Clonidine Hcl	11	suppressed
Lidocaine	Lidocaine	11	suppressed
Modafinil	Modafinil	11	suppressed
Olanzapine	Olanzapine	11	suppressed
Spiriva Respimat	Tiotropium Bromide	11	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	11	suppressed

Timeline

Payment and prescribing data by year

Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.

Year	General Payments	Main payer	Explicit products	Company overlaps	Part D coverage
2025	—	—	—	—	—
2024	—	—	—	—	Complete

Questions to ask

Questions you could discuss with your doctor

Are there reasonable alternatives I should understand when we discuss treatment options?
How should I interpret the industry-payment records shown here in the context of my care?

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.

Loaded source releases

Dataset	Year	Publication	Source
CMS Open Payments — General Payments	2025	2026-06-30	Original source
Medicare Part D Prescribers by Provider and Drug	2024	2026-05-06	Original source
NPPES Data Dissemination V2	current / reference data	2026-08-10	Original source

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error