Healthcare provider profile · identity verified

Robert Herman Koch, M.D.

Family Practice · BOONVILLE, MO · NPI 1568409142

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
Levothyroxine Sodium	Levothyroxine Sodium	602	88
Amlodipine Besylate	Amlodipine Besylate	575	112
Lisinopril	Lisinopril	503	111
Atorvastatin Calcium	Atorvastatin Calcium	482	111
Gabapentin	Gabapentin	381	74
Furosemide	Furosemide	376	70
Eliquis	Apixaban	357	42
Metformin Hcl	Metformin Hcl	327	78
Pantoprazole Sodium	Pantoprazole Sodium	307	60
Omeprazole	Omeprazole	289	67
Tamsulosin Hcl	Tamsulosin Hcl	267	54
Losartan Potassium	Losartan Potassium	266	52
Citalopram Hbr	Citalopram Hydrobromide	260	47
Metoprolol Succinate	Metoprolol Succinate	246	48
Potassium Chloride	Potassium Chloride	244	36
Tramadol Hcl	Tramadol Hcl	229	48
Sertraline Hcl	Sertraline Hcl	214	44
Trazodone Hcl	Trazodone Hcl	208	44
Hydrochlorothiazide	Hydrochlorothiazide	204	52
Metoprolol Tartrate	Metoprolol Tartrate	185	41
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	173	42
Albuterol Sulfate Hfa	Albuterol Sulfate	169	56
Duloxetine Hcl	Duloxetine Hcl	152	28
Donepezil Hcl	Donepezil Hcl	144	24
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	144	39
Xarelto	Rivaroxaban	144	13
Pravastatin Sodium	Pravastatin Sodium	140	35
Meloxicam	Meloxicam	133	35
Allopurinol	Allopurinol	132	30
Alprazolam	Alprazolam	129	22
Memantine Hcl	Memantine Hcl	129	23
Divalproex Sodium	Divalproex Sodium	127	16
Carvedilol	Carvedilol	124	35
Famotidine	Famotidine	121	16
Simvastatin	Simvastatin	121	27
Celecoxib	Celecoxib	120	25
Rosuvastatin Calcium	Rosuvastatin Calcium	117	30
Prednisone	Prednisone	113	41
Quetiapine Fumarate	Quetiapine Fumarate	113	19
Montelukast Sodium	Montelukast Sodium	111	28
Oxybutynin Chloride	Oxybutynin Chloride	108	17
Breo Ellipta	Fluticasone/Vilanterol	107	23
Warfarin Sodium	Warfarin Sodium	105	suppressed
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	103	21
Januvia	Sitagliptin Phosphate	98	16
Lovastatin	Lovastatin	95	19
Hydroxyzine Hcl	Hydroxyzine Hcl	93	28
Ozempic	Semaglutide	92	18
Ropinirole Hcl	Ropinirole Hcl	91	15
Finasteride	Finasteride	90	18
Doxycycline Hyclate	Doxycycline Hyclate	88	47
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	86	15
Myrbetriq	Mirabegron	83	suppressed
Glimepiride	Glimepiride	80	17
Risperidone	Risperidone	78	suppressed
Alendronate Sodium	Alendronate Sodium	74	17
Clonazepam	Clonazepam	72	13
Escitalopram Oxalate	Escitalopram Oxalate	71	12
Fluticasone Propionate	Fluticasone Propionate	71	23
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	69	18
Clopidogrel	Clopidogrel Bisulfate	67	14
Farxiga	Dapagliflozin Propanediol	64	12
Buspirone Hcl	Buspirone Hcl	63	15
Carbidopa-Levodopa	Carbidopa/Levodopa	63	12
Zolpidem Tartrate	Zolpidem Tartrate	63	12
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	61	13
Latanoprost	Latanoprost	61	12
Pregabalin	Pregabalin	61	16
Venlafaxine Hcl Er	Venlafaxine Hcl	55	suppressed
Amiodarone Hcl	Amiodarone Hcl	52	suppressed
Paroxetine Hcl	Paroxetine Hcl	51	12
Aripiprazole	Aripiprazole	49	suppressed
Levetiracetam	Levetiracetam	49	suppressed
Metformin Hcl Er	Metformin Hcl	49	14
Atenolol	Atenolol	48	12
Baclofen	Baclofen	48	12
Lamotrigine	Lamotrigine	48	suppressed
Benazepril Hcl	Benazepril Hcl	47	11
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	46	suppressed
Mirtazapine	Mirtazapine	45	11
Triamcinolone Acetonide	Triamcinolone Acetonide	44	32
Clonidine Hcl	Clonidine Hcl	43	suppressed
Lorazepam	Lorazepam	43	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	43	31
Albuterol Sulfate	Albuterol Sulfate	42	suppressed
Combivent Respimat	Ipratropium/Albuterol Sulfate	42	suppressed
Tizanidine Hcl	Tizanidine Hcl	42	14
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	42	suppressed
Jardiance	Empagliflozin	40	suppressed
Arformoterol Tartrate	Arformoterol Tartrate	39	suppressed
Glipizide	Glipizide	39	12
Naproxen	Naproxen	39	suppressed
Hydralazine Hcl	Hydralazine Hcl	38	suppressed
Spironolactone	Spironolactone	37	suppressed
Diclofenac Sodium	Diclofenac Sodium	36	19
Symbicort	Budesonide/Formoterol Fumarate	36	suppressed
Liothyronine Sodium	Liothyronine Sodium	35	suppressed
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	35	12
Prazosin Hcl	Prazosin Hcl	35	suppressed
Trulicity	Dulaglutide	35	suppressed
Bisoprolol Fumarate	Bisoprolol Fumarate	34	suppressed
Bumetanide	Bumetanide	34	suppressed
Gentamicin Sulfate	Gentamicin Sulfate	34	suppressed
Esomeprazole Magnesium	Esomeprazole Magnesium	33	suppressed
Methotrexate	Methotrexate Sodium	33	suppressed
Nyamyc	Nystatin	33	16
Propranolol Hcl	Propranolol Hcl	33	suppressed
Tresiba Flextouch U-100	Insulin Degludec	32	suppressed
Incruse Ellipta	Umeclidinium Bromide	31	suppressed
Amitriptyline Hcl	Amitriptyline Hcl	30	suppressed
Cephalexin	Cephalexin	30	27
Synthroid	Levothyroxine Sodium	30	suppressed
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	29	22
Nifedipine Er	Nifedipine	29	suppressed
Ondansetron Odt	Ondansetron	29	13
Oxybutynin Chloride Er	Oxybutynin Chloride	29	suppressed
Sucralfate	Sucralfate	28	suppressed
Amoxicillin	Amoxicillin	27	23
Bupropion Hcl Sr	Bupropion Hcl	27	suppressed
Nystatin	Nystatin	27	18
Ondansetron Hcl	Ondansetron Hcl	27	20
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	27	suppressed
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	27	suppressed
Ibuprofen	Ibuprofen	26	suppressed
Carbamazepine Er	Carbamazepine	25	suppressed
Spiriva Handihaler	Tiotropium Bromide	25	suppressed
Varenicline Tartrate	Varenicline Tartrate	25	suppressed
Fluoxetine Hcl	Fluoxetine Hcl	24	suppressed
Isosorbide Mononitrate Er	Isosorbide Mononitrate	24	suppressed
Olanzapine	Olanzapine	24	suppressed
Acyclovir	Acyclovir	23	suppressed
Arexvy	Rsvpref3 Antigen/As01e/Pf	23	23
Clozapine	Clozapine	23	suppressed
Doxepin Hcl	Doxepin Hcl	23	suppressed
Ipratropium-Albuterol	Ipratropium/Albuterol Sulfate	23	15
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	23	15
Torsemide	Torsemide	23	suppressed
Ventolin Hfa	Albuterol Sulfate	23	suppressed
Austedo Xr	Deutetrabenazine	22	suppressed
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	22	suppressed
Amlodipine Besylate-Benazepril	Amlodipine Besylate/Benazepril	21	suppressed
Lithium Carbonate	Lithium Carbonate	21	suppressed
Novolog	Insulin Aspart	21	suppressed
Insulin Lispro Kwikpen U-100	Insulin Lispro	20	suppressed
Pioglitazone Hcl	Pioglitazone Hcl	20	suppressed
Valacyclovir	Valacyclovir Hcl	20	suppressed
Haloperidol	Haloperidol	19	suppressed
Humalog Kwikpen U-100	Insulin Lispro	19	suppressed
Levocetirizine Dihydrochloride	Levocetirizine Dihydrochloride	19	suppressed
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	18	suppressed
Cefadroxil	Cefadroxil	18	suppressed
Cyclosporine	Cyclosporine	18	suppressed
Digoxin	Digoxin	18	suppressed
Estradiol	Estradiol	18	suppressed
Lantus	Insulin Glargine,hum.Rec.Anlog	18	suppressed
Oxycodone Hcl	Oxycodone Hcl	18	suppressed
Temazepam	Temazepam	18	suppressed
Tolterodine Tartrate Er	Tolterodine Tartrate	18	suppressed
Buprenorphine	Buprenorphine	17	suppressed
Benztropine Mesylate	Benztropine Mesylate	16	suppressed
Nitroglycerin	Nitroglycerin	16	12
Budesonide-Formoterol Fumarate	Budesonide/Formoterol Fumarate	15	suppressed
Bupropion Xl	Bupropion Hcl	15	suppressed
Ciprofloxacin Hcl	Ciprofloxacin Hcl	15	12
Doxazosin Mesylate	Doxazosin Mesylate	14	suppressed
Levemir	Insulin Detemir	14	suppressed
Lurasidone Hcl	Lurasidone Hcl	14	suppressed
Medroxyprogesterone Acetate	Medroxyprogesterone Acetate	14	suppressed
Novolog Flexpen	Insulin Aspart	14	suppressed
Budesonide Dr	Budesonide	13	suppressed
Cabergoline	Cabergoline	13	suppressed
Clonidine	Clonidine	13	suppressed
Divalproex Sodium Er	Divalproex Sodium	13	suppressed
Entresto	Sacubitril/Valsartan	13	suppressed
Fentanyl	Fentanyl	13	suppressed
Levemir Flexpen	Insulin Detemir	13	suppressed
Linzess	Linaclotide	13	suppressed
Memantine Hcl Er	Memantine Hcl	13	suppressed
Metoclopramide Hcl	Metoclopramide Hcl	13	suppressed
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	13	suppressed
Primidone	Primidone	13	suppressed
Ultra-Fine Mini Pen Needle	Pen Needle, Diabetic	13	suppressed
Bethanechol Chloride	Bethanechol Chloride	12	suppressed
Budesonide	Budesonide	12	suppressed
Fluconazole	Fluconazole	12	suppressed
Lacosamide	Lacosamide	12	suppressed
Meclizine Hcl	Meclizine Hcl	12	suppressed
Restasis	Cyclosporine	12	suppressed
Techlite Pen Needle	Pen Needle, Diabetic	12	suppressed
Tolterodine Tartrate	Tolterodine Tartrate	12	suppressed
Tresiba Flextouch U-200	Insulin Degludec	12	suppressed
Abrysvo	Rsv Vacc, Pref A And Pref B/Pf	11	11
Janumet Xr	Sitagliptin Phos/Metformin Hcl	11	suppressed
Loxapine	Loxapine Succinate	11	suppressed
Oxcarbazepine	Oxcarbazepine	11	suppressed
Scopolamine	Scopolamine	11	suppressed
Solifenacin Succinate	Solifenacin Succinate	11	suppressed
Zonisamide	Zonisamide	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