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Dr. Brian Edward Koch, MD

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Specializes in: Pediatric Orthopedics/Orthopedic Surgery and Sports Medicine

Ohio State University College of Medicine (1998)

Professional interests include: musculoskeletal problems, dislocation, sports health, and more.

501 Saundersville Road
Hendersonville, TN 37075

(615) 265-5000

Dr. Brian Edward Koch, MD is a pediatric orthopedist in Gallatin, TN specializing in pediatric orthopedics/orthopedic surgery and sports medicine. He graduated from Ohio State University College of Medicine in 1998 and has 28 years of experience. Dr. Brian Edward Koch, MD is affiliated with TriStar Health, Highpoint Health with Ascension Saint Thomas, TriStar Hendersonville Medical Center and Tennessee Orthopaedic Alliance.

Office Locations

270 East Main Street Suite 300
Gallatin, TN 37066

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Highpoint Health with Ascension Saint Thomas

353 New Shackle Island Road Suite 148c
Hendersonville, TN 37075

(615) 265-5000

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Tennessee Orthopaedic Alliance

501 Saundersville Road
Hendersonville, TN 37075

(615) 265-5000

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1035 S Hartmann Drive
Lebanon, TN 37090

(615) 321-0200

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Some issues Dr. Brian Edward Koch, MD can help you with:

Musculoskeletal Problems

The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.

Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.

Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.

Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.

Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.

Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.

Replacement Arthroplasty (Joint Replacement)

Joint replacement, sometimes also called arthroplasty, is an option when a joint becomes severely damaged by disease or injury. The damaged cartilage of the joint is surgically removed, the ends of the bones in the joint are resurfaced, and a prosthetic is installed. Most prosthetic joints are made of a metal piece that fits into a plastic sleeve so that they glide smoothly. A joint replacement increases stability in the damaged area and decreases pain. The hip and knee are the two joints most commonly replaced, but joint replacement can also be performed on the ankle, shoulder, elbow and even fingers.

Although joint replacement is one of the safest and most reliable medical procedures available, it is still a major surgical procedure. All surgical procedures carry risks, such as infection or blood clots. For this reason, doctors try to help their patients avoid surgery for as long as they can. Taking arthritis medications, losing weight, avoiding high impact sports such as running, taking supplements such as glucosamine or chondroitin, or having joint injections may allow a patient to enjoy life without the need for surgery.

After having joint replacement surgery, patients can expect some pain the first few days as they recover. Physical therapy is an important part of recovery, and it can decrease complications and increase future mobility. As soon as possible, returning to low impact sports such as swimming, walking or biking can stretch and heal the new joint. A prosthetic joint can last 15 - 20 years and cannot be further damaged by degenerative diseases such as arthritis, so once it is done patients should be pain-free for many years.

In The News

"https://toa.com/news/toa-team-coverage--sumner-county-schools", Tennessee Orthopaedic Alliance

Noteworthy Medicare Patient Procedures Performed by Dr. Brian Edward Koch, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 10%

By Volume:

joint imaging

joint surgery

knee X-ray

By Affordability:

lower extremity MRI

In 2023, among providers in related specialties within Tennessee, Dr. Brian Edward Koch, MD performed more joint imaging, joint surgery, and knee X-ray procedures for Medicare patients than 90% of them and he also had a list price for lower extremity MRI that was lower than the list prices billed to Medicare by 90% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

arthroscopic acromioplasty

arthroscopic shoulder debridement

arthroscopic surgery

lower extremity surgery

major joint aspiration

major joint injection

replacement arthroplasty

subacromial decompression

surgical debridement

total knee replacement

By Affordability:

In 2012, among providers in related specialties within Tennessee, Dr. Brian Edward Koch, MD performed more arthroscopic acromioplasty, arthroscopic shoulder debridement, arthroscopic surgery, lower extremity surgery, major joint aspiration, major joint injection, replacement arthroplasty (joint replacement), subacromial decompression, surgical debridement, and total knee replacement procedures for Medicare patients than 75% of them and he also had a list price for ankle MRI, elbow MRI, hip MRI, joint MRI, knee MRI, MRI (magnetic resonance imaging), shoulder MRI, and wrist MRI that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2012 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	477
debridement (removal of unhealthy tissue)	12
decompression surgery	12
doctor visit	734
hip imaging	45
hospital care	13
injections	477
inpatient care	13
joint surgery	47
lower extremity surgery	23
minimally invasive procedures	24
musculoskeletal imaging	240
pelvic imaging	80
reconstructive surgery	23
upper extremity surgery	24
X-rays	320

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2013 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	330
debridement (removal of unhealthy tissue)	13
decompression surgery	15
doctor visit	588
hip imaging	29
hospital care	24
injections	330
inpatient care	24
joint surgery	58
lower extremity surgery	17
minimally invasive procedures	41
musculoskeletal imaging	221
pelvic imaging	91
reconstructive surgery	17
upper extremity surgery	41
X-rays	312

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	139
Female	278

**Ethnicity**
Non-Hispanic White	390
Black	16
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	197
From 75 to 84	136
85 and over	46
Less than 65	38

Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD in 2013

Hypertension	71
High Cholesterol	59
Stroke	5
Ischemic Heart Disease	43
Depression	23
Chronic Kidney Disease	27
Asthma	12
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	19
Chronic Obstructive Pulmonary Disease	15
Diabetes	28
Dementia	11
Cancer	6

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2014 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	330
decompression surgery	25
doctor visit	623
hip imaging	30
hospital care	42
injections	330
inpatient care	42
joint surgery	66
lower extremity surgery	22
minimally invasive procedures	44
musculoskeletal imaging	226
pelvic imaging	94
reconstructive surgery	22
upper extremity surgery	44
X-rays	320

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	150
Female	301

**Ethnicity**
Non-Hispanic White	427
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	224
From 75 to 84	121
85 and over	48
Less than 65	58

Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD in 2014

Hypertension	69
High Cholesterol	57
Stroke	5
Ischemic Heart Disease	40
Depression	26
Chronic Kidney Disease	27
Asthma	10
Osteoperosis	10
Atrial Fibrilation	9
Heart Failure	17
Chronic Obstructive Pulmonary Disease	15
Diabetes	26
Dementia	11
Cancer	8

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2015 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	359
decompression surgery	20
doctor visit	667
hip imaging	23
hospital care	23
injections	359
inpatient care	23
joint surgery	38
lower extremity surgery	18
minimally invasive procedures	20
musculoskeletal imaging	243
pelvic imaging	78
reconstructive surgery	18
rehabilitation	48
upper extremity surgery	20
X-rays	321

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	354
Female	626

**Ethnicity**
Non-Hispanic White	932
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	464
From 75 to 84	274
85 and over	98
Less than 65	144

Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD in 2015

Hypertension	72
High Cholesterol	62
Stroke	5
Ischemic Heart Disease	41
Depression	27
Chronic Kidney Disease	27
Asthma	16
Osteoperosis	9
Atrial Fibrilation	10
Heart Failure	18
Chronic Obstructive Pulmonary Disease	17
Diabetes	31
Dementia	10
Cancer	8

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2016 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	414
debridement (removal of unhealthy tissue)	15
decompression surgery	20
doctor visit	704
hospital care	42
injections	414
inpatient care	42
joint surgery	79
lower extremity surgery	31
minimally invasive procedures	48
musculoskeletal imaging	261
pelvic imaging	57
reconstructive surgery	31
upper extremity surgery	48
X-rays	318

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	189
Female	339

**Ethnicity**
Non-Hispanic White	499
Black	18
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	265
From 75 to 84	145
85 and over	61
Less than 65	57

Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD in 2016

Hypertension	74
High Cholesterol	58
Stroke	5
Ischemic Heart Disease	42
Depression	26
Chronic Kidney Disease	34
Asthma	17
Osteoperosis	8
Atrial Fibrilation	9
Heart Failure	16
Chronic Obstructive Pulmonary Disease	14
Diabetes	32
Dementia	13
Cancer	10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2017 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	494
debridement (removal of unhealthy tissue)	16
decompression surgery	18
doctor visit	816
hospital care	17
injections	494
inpatient care	17
joint surgery	87
lower extremity surgery	53
minimally invasive procedures	45
musculoskeletal imaging	287
pelvic imaging	46
reconstructive surgery	42
upper extremity surgery	34
X-rays	333

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	204
Female	344

**Ethnicity**
Non-Hispanic White	501
Black	26
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	277
From 75 to 84	169
85 and over	49
Less than 65	53

Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD in 2017

Hypertension	72
High Cholesterol	53
Stroke	3
Ischemic Heart Disease	43
Depression	20
Chronic Kidney Disease	35
Asthma	6
Osteoperosis	8
Atrial Fibrilation	10
Heart Failure	16
Chronic Obstructive Pulmonary Disease	13
Diabetes	31
Dementia	8
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2018 were injections, aspiration, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	503
debridement (removal of unhealthy tissue)	17
decompression surgery	16
doctor visit	848
injections	515
joint surgery	76
lower extremity surgery	43
minimally invasive procedures	33
musculoskeletal imaging	298
pelvic imaging	39
reconstructive surgery	43
upper extremity surgery	33
X-rays	337

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	213
Female	318

**Ethnicity**
Non-Hispanic White	488
Black	25
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	299
From 75 to 84	153
85 and over	36
Less than 65	43

Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD in 2018

Hypertension	71
High Cholesterol	67
Stroke	3
Ischemic Heart Disease	46
Depression	22
Chronic Kidney Disease	33
Asthma	9
Osteoperosis	6
Atrial Fibrilation	11
Heart Failure	14
Chronic Obstructive Pulmonary Disease	14
Diabetes	30
Dementia	5
Cancer	9

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2019 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	440
debridement (removal of unhealthy tissue)	25
decompression surgery	25
doctor visit	815
injections	440
joint surgery	111
lower extremity surgery	45
minimally invasive procedures	66
musculoskeletal imaging	335
pelvic imaging	55
reconstructive surgery	45
upper extremity surgery	66
X-rays	390

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	220
Female	314

**Ethnicity**
Non-Hispanic White	495
Black	22
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	293
From 75 to 84	153
85 and over	47
Less than 65	41

Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD in 2019

Hypertension	75
High Cholesterol	68
Stroke	3
Ischemic Heart Disease	49
Depression	22
Chronic Kidney Disease	35
Asthma	7
Osteoperosis	7
Atrial Fibrilation	9
Heart Failure	16
Chronic Obstructive Pulmonary Disease	11
Diabetes	31
Dementia	5
Cancer	10

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2020 were aspiration, injections, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	404
debridement (removal of unhealthy tissue)	18
decompression surgery	18
doctor visit	777
hip imaging	15
injections	404
joint surgery	93
lower extremity surgery	46
minimally invasive procedures	61
MRI (magnetic resonance imaging)	34
musculoskeletal imaging	367
pelvic imaging	20
reconstructive surgery	32
upper extremity surgery	47
X-rays	353

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	193
Female	310

**Ethnicity**
Non-Hispanic White	479
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	277
From 75 to 84	138
85 and over	51
Less than 65	37

Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD in 2020

Hypertension	67
High Cholesterol	58
Stroke	2
Ischemic Heart Disease	45
Depression	22
Chronic Kidney Disease	30
Asthma	6
Osteoperosis	8
Atrial Fibrilation	7
Heart Failure	15
Chronic Obstructive Pulmonary Disease	13
Diabetes	27
Dementia	7
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2021 were aspiration, injections, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	391
debridement (removal of unhealthy tissue)	17
decompression surgery	16
doctor visit	777
hip imaging	24
injections	391
joint surgery	107
lower extremity surgery	62
minimally invasive procedures	66
MRI (magnetic resonance imaging)	44
musculoskeletal imaging	327
pelvic imaging	20
reconstructive surgery	41
upper extremity surgery	45
X-rays	303

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	223
Female	302

**Ethnicity**
Non-Hispanic White	494
Black	17
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	293
From 75 to 84	151
85 and over	55
Less than 65	26

Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD in 2021

Hypertension	69
High Cholesterol	69
Stroke	3
Ischemic Heart Disease	47
Depression	18
Chronic Kidney Disease	34
Asthma	7
Osteoperosis	7
Atrial Fibrilation	9
Heart Failure	15
Chronic Obstructive Pulmonary Disease	15
Diabetes	30
Dementia	6
Cancer	9

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN during 2022 were aspiration, injections, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

aspiration	443
debridement (removal of unhealthy tissue)	19
decompression surgery	19
doctor visit	787
hip imaging	21
injections	443
joint surgery	109
lower extremity surgery	46
minimally invasive procedures	51
MRI (magnetic resonance imaging)	53
musculoskeletal imaging	359
pelvic imaging	28
reconstructive surgery	58
upper extremity surgery	63
X-rays	334

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	182
Female	319

**Ethnicity**
Non-Hispanic White	465
Black	21
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	274
From 75 to 84	147
85 and over	65
Less than 65	15

Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	38
Depression	17
Chronic Kidney Disease	25
Asthma	11
Osteoperosis	11
Atrial Fibrilation	14
Heart Failure	11
Chronic Obstructive Pulmonary Disease	15
Diabetes	26
Dementia	3
Cancer	13

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Brian Edward Koch, MD for Medicare patients.

The highest averages for the top procedures that Dr. Brian Edward Koch, MD treated as a pediatric orthopedist in Gallatin, TN were injections, aspiration, X-rays and musculoskeletal imaging.

aspiration	416
debridement (removal of unhealthy tissue)	16
decompression surgery	18
doctor visit	739
hip imaging	26
hospital care	26
injections	417
inpatient care	26
joint surgery	79
lower extremity surgery	36
minimally invasive procedures	45
MRI (magnetic resonance imaging)	43
musculoskeletal imaging	287
pelvic imaging	55
reconstructive surgery	33
rehabilitation	48
upper extremity surgery	42
X-rays	331

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Brian Edward Koch, MD.

**Gender**
Male	187
Female	313

**Ethnicity**
Black / African American	13
Asian / Pacific Islander	0
Non-Hispanic White	470
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	144
85 and over	50
Less than 65	46
65 to 74	260

Average of Total of Conditions of Medicare patients treated by Dr. Brian Edward Koch, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Brian Edward Koch, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	65
High Cholesterol	56
Stroke	3
Ischemic Heart Disease	39
Depression	20
Chronic Kidney Disease	27
Asthma	9
Osteoporosis	7
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	26
Atrial Fibrillation	8
Dementia	7
Cancer	8

Education & Training

Dr. Brian Edward Koch, MD graduated from Ohio State University College of Medicine in 1998. He completed residency at University of Wisconsin Hospital and Clinics. He is certified by the American Board of Orthopaedic Surgery and has a state license in Tennessee.

Medical School: Ohio State University College of Medicine (1998)

Residency: University of Wisconsin Hospital and Clinics (2003)

Board Certification: American Board of Orthopaedic Surgery

Licensed In: Tennessee

Affiliations & Hospitals

Dr. Brian Edward Koch, MD is associated with these hospitals and organizations:

TriStar Health

Highpoint Health with Ascension Saint Thomas

TriStar Hendersonville Medical Center

Tennessee Orthopaedic Alliance

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General Payments

These charts describe general payments received by Dr. Brian Edward Koch, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Stryker Corporation	$1,139 TRAUMA & EXTREMITIES $856	Reunion $176	HIPS $107
Medtronic USA, Inc.	$828 AQUAMANTYS $817	VECTRIS $12
DePuy Synthes Sales Inc.	$700 ACTIS $413	TRI-LOCK $117	Knee $110	Orthopaedics $48	Early Intervention $11
Smith+Nephew, Inc.	$333 REGENETEN Shoulder $197	Regeneten $135
ConforMIS, Inc.	$118 iTotal PS $118
Other	$281 Evera $108	AMIStem $100	EUFLEXXA $36	Knee $18	NEXLETOL $16	Other $3

**Types of Payments**
Food and Beverage	$1,904
Travel and Lodging	$1,456
Education	$39

Biography

Dr. Brian Koch practices pediatric orthopedics/orthopedic surgery and sports medicine. Areas of expertise for Dr. Koch include knee problems, replacement arthroplasty (joint replacement), and dislocation. He is a graduate of Ohio State University College of Medicine and a graduate of the University of Wisconsin Hospital and Clinics' residency program. Awards and/or distinctions he has received include Alpha Omega Alpha Honor Society and The Ohio State University College of Medicine and Public Health - Cum Laude, graduated 7 out of 210. He is professionally affiliated with Tennessee Orthopaedic Alliance, TriStar Hendersonville Medical Center, and Highpoint Health with Ascension Saint Thomas. He has an open panel in Hendersonville, TN according to Highpoint Health with Ascension Saint Thomas.