Brian Koch, MD
Sports Medicine · Gallatin, TNNPI 1255324281
Payments from drug & device makers
What this record shows
Zimmer Biomet accounts for 75.1% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $3,031 and has fallen 98.9% since, to $34 in 2025.
Across 18 payments — averaging $224.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$3K
- Johnson & Johnson$413
- Smith+Nephew$333
- Medtronic$108
- Medacta USA, Inc.$100
- Saluda Medical Americas, Inc.$18
- plus $32 from 2 others
What the payments were for
- Travel & lodging$2,32658%
- Food & beverage$1,70942%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Zimmer Biomet | 6 | $3,031 |
| Johnson & Johnson | 5 | $413 |
| Smith+Nephew | 2 | $333 |
| Medtronic | 1 | $108 |
| Medacta USA, Inc. | 1 | $100 |
| Saluda Medical Americas, Inc. | 1 | $18 |
| Esperion Therapeutics, Inc. | 1 | $16 |
| Music City Medical Technologies, LLC | 1 | $16 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$4,034 in reported general payments places this provider in the 60th percentile of 147 sports medicine providers in Tennessee.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Celecoxib | 200 | $4,527 |
| Oxycodone Hcl | 127 | $550 |
| Methylprednisolone | 50 | $336 |
| Meloxicam | 70 | $166 |
| Mupirocin | 21 | $162 |
| Tramadol Hcl | 55 | $101 |
| Ondansetron Hcl | 12 | $36 |
| Amoxicillin | 39 | $32 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Gallatin
- Jeffrie KindredGallatin$6K
- Jeffrey DlabachCollierville$504K
- Ian ByramFranklin$252K
- Jw ByrdNashville$248K
- Lucas RichieLebanon$159K
- Zachary PharrColumbia$75K
- Colin LooneyFranklin$68K
- Jonathan BryantBristol$67K
- Lucas TeskeClarksville$57K
- Frederick AzarGermantown$54K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.