Written by: DoctorSpotFee Editorial Team
Last updated: October 1, 2026
Information checked: October 1, 2026
Primary sources checked: VCU Health and VCU School of Medicine
Profile, qualifications, specialties, VCU Health location and appointment information
Dr. Paul Koch, MD, is a neurosurgeon at VCU Health in Richmond, Virginia. He specializes in stereotactic and functional neurosurgery, with clinical interests in movement disorders and epilepsy surgery. This profile covers his documented qualifications, areas of expertise, practice location, and practical information for patients seeking an appointment.
Quick Doctor Profile
| Information | Details |
|---|---|
| Doctor Name | Dr. Paul F. Koch, MD |
| Specialty | Neurosurgery |
| Sub-specialty | Stereotactic and Functional Neurosurgery |
| Qualifications | M.D., Case Western Reserve University School of Medicine; B.A., Yale University |
| Practice Experience | U.S. News reports 11–20 years in practice; directory figures may change |
| Consultation Fee | Not publicly available from the sources reviewed |
| Clinic/Hospital | VCU Health Ambulatory Care Center; VCU Medical Center |
| Location | Richmond, VA |
| Consultation Type | In-person; telehealth availability not documented |
| Appointment | VCU Health appointment request or phone (804) 828-9165 |
About Dr. Paul Koch
Dr. Paul F. Koch is a neurosurgeon based in Richmond, Virginia. He is an Assistant Professor in the Department of Neurosurgery at VCU School of Medicine and sees patients at VCU Health. His documented clinical focus is functional neurosurgery, with clinical interests including movement disorders and epilepsy surgery.
Dr. Koch completed his neurosurgery residency at the University of Pennsylvania and a fellowship in Stereotactic and Functional Neurosurgery at Emory University. He is certified by the American Board of Neurological Surgery. His research interests include traumatic brain injury and post-traumatic epilepsy.
Qualifications & Professional Background
- B.A. – Yale University
- M.D. – Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
- Residency, Neurosurgery – University of Pennsylvania
- Fellowship, Stereotactic and Functional Neurosurgery – Emory University
- Board Certification – American Board of Neurological Surgery
- Academic Appointment – Assistant Professor, Department of Neurosurgery, VCU School of Medicine
U.S. News lists his time in practice as between 11 and 20 years. Directory-based experience figures can change over time and should be treated as supplementary information.
Specialty & Areas of Expertise
Dr. Koch’s documented clinical interests, as listed by VCU, include:
- Movement Disorder Surgery – surgical treatment for conditions such as essential tremor and Parkinson’s disease.
- Deep Brain Stimulation (DBS) – a procedure that uses implanted electrodes to deliver electrical impulses to specific brain areas.
- Focused Ultrasound – a non-invasive procedure that uses sound waves to treat tissue deep in the brain.
- Epilepsy Surgery – surgical options for epilepsy that does not respond to medication, including neuromodulation, stereotactic laser ablation, and resection.
- Responsive Neurostimulation (RNS) – VCU Health has documented Dr. Koch’s involvement in epilepsy treatment using responsive neurostimulation as part of a multidisciplinary epilepsy program. VCU Health also identifies him as surgical director of the epilepsy program.
- Brain Mapping – a technique used during surgery to identify critical brain areas.
- Psychiatric Disorder Surgery – surgical interventions for certain severe psychiatric conditions.
- Post-Traumatic Epilepsy – research and clinical interest in seizures that develop after traumatic brain injury.
VCU Health states that Dr. Koch led the first focused ultrasound procedure at VCU Medical Center. His formal neurosurgical training included residency at the University of Pennsylvania and fellowship training in Stereotactic and Functional Neurosurgery at Emory University.
Clinical Interests and Related Conditions
VCU’s profile identifies the following clinical interests and related areas:
- Essential Tremor — a neurological condition causing involuntary rhythmic shaking.
- Parkinson’s Disease — a progressive nervous system disorder affecting movement.
- Refractory Epilepsy — epilepsy that has not responded to medication.
- Movement Disorders — conditions affecting control of movement.
- Traumatic Brain Injury — injury to the brain caused by an external force.
- Post-Traumatic Epilepsy — seizures that develop after a brain injury.
Third-party directories list additional conditions, but the VCU profile focuses on functional neurosurgery and epilepsy. Patients should confirm the specific conditions treated by Dr. Koch directly with his office.
Treatments & Procedures
The following procedures and treatment approaches are identified in publicly available information about Dr. Koch’s clinical practice:
Deep Brain Stimulation (DBS)
A surgical procedure that involves implanting electrodes in specific brain areas to deliver electrical impulses. It is used to manage symptoms of movement disorders such as Parkinson’s disease and essential tremor.
Focused Ultrasound
A non-invasive procedure that uses focused sound waves to treat tissue deep within the brain without incisions. It is used for conditions such as essential tremor. VCU Health states that Dr. Koch led the first focused ultrasound procedure at VCU Medical Center.
Epilepsy Surgery
Surgical interventions for epilepsy that does not respond to medication. This may include resection, laser ablation, or neuromodulation.
Responsive Neurostimulation (RNS)
A neuromodulation treatment for certain types of epilepsy. VCU Health has documented Dr. Koch’s involvement in epilepsy treatment using RNS as part of a multidisciplinary epilepsy program.
Brain Mapping
A technique used during surgery to identify critical areas of the brain, helping surgeons avoid damage to functionally important regions.
Consultation Fee
The current consultation fee for Dr. Paul Koch was not publicly available from the sources reviewed.
Doctor consultation fees can change and may vary depending on the clinic, consultation type, or appointment method. Patients should confirm the current fee directly with the clinic before visiting.
VCU Health may have self-pay or departmental policies, but these should be confirmed directly with the office. Do not assume a specific fee applies to Dr. Koch without verification.
Clinic / Hospital Information
Patient Location:
VCU Health Ambulatory Care Center
417 N. 11th Street
Richmond, VA 23219
Phone: (804) 828-9165
Affiliated Hospitals:
- VCU Medical Center Main Hospital, Richmond, VA
- Hunter Holmes McGuire Veterans Affairs Medical Center-Richmond
- Children’s Hospital of Richmond at VCU
Administrative/Departmental Address (not for patient visits):
VCU Department of Neurosurgery
417 North 11th Street, Sixth Floor, Box 980631
Richmond, VA 23298
Clinic Timings
Clinic timings for Dr. Koch were not publicly available from the sources reviewed. Clinic timings may change, so patients should confirm availability before visiting.
How to Book an Appointment
VCU Health currently provides an appointment-request option for Dr. Koch on its provider page. Patients can also call the neurosurgery office at (804) 828-9165 to schedule an appointment.
Appointment availability can change. Patients should confirm current availability directly with VCU Health.
Online Consultation
Whether Dr. Koch offers online or telehealth consultations was not documented in the sources reviewed. Patients should contact the clinic directly to inquire about virtual visit options.
Why Patients May Consult This Specialty
Patients may be referred to functional neurosurgery when movement disorders or epilepsy require evaluation for surgical or neuromodulation-based treatment. Dr. Koch’s documented clinical interests include movement disorders, epilepsy surgery, DBS and focused ultrasound.
If you are experiencing severe or potentially life-threatening symptoms — such as sudden severe headache, loss of consciousness, difficulty breathing, or sudden weakness or numbness — seek emergency medical care rather than waiting for a routine appointment.
Common Questions About Dr. Paul Koch
1. What is Dr. Paul Koch’s specialty?
Answer: Dr. Koch is a neurosurgeon. His sub-specialty is stereotactic and functional neurosurgery, with a focus on movement disorders and epilepsy surgery.
2. What qualifications does Dr. Paul Koch have?
Answer: Dr. Koch holds an M.D. from Case Western Reserve University School of Medicine and a B.A. from Yale University. He completed neurosurgery residency at the University of Pennsylvania and a fellowship in Stereotactic and Functional Neurosurgery at Emory University. He is board-certified by the American Board of Neurological Surgery.
3. Where does Dr. Paul Koch practice?
Answer: Dr. Koch sees patients at VCU Health Ambulatory Care Center, 417 N. 11th Street, Richmond, VA 23219. He is affiliated with VCU Medical Center and the Hunter Holmes McGuire VA Medical Center.
4. What is Dr. Paul Koch’s consultation fee?
Answer: The consultation fee was not publicly available from the sources reviewed. Patients should contact the clinic directly at (804) 828-9165 to confirm current fees.
5. How can I book an appointment with Dr. Paul Koch?
Answer: Appointments can be requested through the VCU Health provider page or by calling (804) 828-9165.
6. Does Dr. Paul Koch offer online consultations?
Answer: This information was not available from the sources reviewed. Patients should call the clinic to inquire.
7. What conditions are associated with Dr. Paul Koch’s documented clinical interests?
Answer: Dr. Koch’s documented areas of practice include movement disorders, essential tremor, Parkinson’s disease, refractory epilepsy, and post-traumatic epilepsy.
8. What procedures is Dr. Paul Koch associated with?
Answer: Publicly available information associates Dr. Koch with deep brain stimulation, focused ultrasound, epilepsy surgery, responsive neurostimulation, and brain mapping. Patients should confirm the specific procedure recommended for their situation directly with the clinic.
9. Is Dr. Paul Koch accepting new patients?
Answer: VCU Health currently provides an appointment-request option for Dr. Koch. Patients should confirm current availability directly with VCU Health.
10. What insurance does Dr. Paul Koch accept?
Answer: U.S. News currently lists Medicare, Aetna, Humana, Cigna, Blue Cross and United Healthcare among the insurance plans associated with Dr. Koch. Insurance participation can change, so patients should verify coverage with VCU Health and their insurance provider before scheduling.
Important Information for Patients
- Consultation fees can change and may vary by clinic, consultation type, or appointment method. Always confirm the current fee before booking.
- Clinic schedules can change. Confirm availability before visiting.
- Medical information on DoctorSpotFee.com is provided for informational purposes only.
- Patients should consult a qualified healthcare professional for personal medical advice.
- This profile is based on publicly available sources and is not affiliated with or endorsed by Dr. Koch or VCU Health.
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