Prepare for your visit
Douglas A Koch
Orthopaedic Surgery · Lincoln, NE · NPI 1245205947
One page to bring to your appointment. Every figure is as reported to CMS by drug and device makers. Payments are legal and often routine; this is context for a conversation, not a verdict.
What was reported
$2,275.67
in general payments reported to CMS, 2019-2025 · $39.10 in 2025
The $39.10 reported for 2025 was less than what a typical Orthopaedic Surgery provider received nationally (typical 2025 total: $569).
Who reported paying
General payments only, top 6 by amount.
- Conetic Solutions, INC. $1,376.32
- Depuy Synthes Sales INC. $364.47
- Stryker Corporation $86.83
- Linvatec Corporation $80.00
- Ferring Pharmaceuticals INC. $71.82
- Heron Therapeutics, INC. $68.57
Drugs and devices associated with these payments
Biobrace 23mm Adapt Gamma Variax Hoffmann Pangea Durolane Imbruvica Floseal Verzenio Jaypirca Retevmo
Association is not allocation: a product listed here means a payment was associated with it, not that money was paid to promote it. Detail covers 2023-2025.
Questions you might ask
- I saw Douglas Koch listed in the CMS Open Payments database. Can you tell me about your work with those companies?
- Is there a generic or alternative to this medication, and would it work as well for me?
- What made you choose this particular treatment for my situation?
These are normal questions. A good clinician will welcome them.
Notes
Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.
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