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Paul F. Koch, MD

Specialty
Neurosurgery
Pediatric Neurosurgery
Epilepsy
Department
Neurosurgery

Locations

Ambulatory Care Center

417 N. 11th Street
Richmond, VA 23219
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Education

Medical School

Case Western Reserve University School of Medicine

Residency

Hospital of the University of Pennsylvania

Fellowship

Emory University Hospital


Biography

Dr. Paul Koch is a board-certified, fellowship-trained neurosurgeon who specializes in surgery for movement disorders, including focused ultrasound and deep brain stimulation (DBS) for essential tremor and Parkinson’s disease, as well as surgery for refractory epilepsy. He joined VCU Health in 2018 after completing residency training with Dr. Gordon Baltuch at the University of Pennsylvania and fellowship training with Dr. Robert Gross at Emory University, both world leaders in surgery for movement disorders.

With a wealth of experience and expertise, Dr. Koch is at the forefront of medical innovation and led the first focused ultrasound procedure at VCU Medical Center. His patient-centric approach and dedication to cutting-edge treatments will transform the lives of countless individuals suffering from essential tremor and other neurological conditions.

 


Clinical Interests

Essential tremor, Parkinson’s disease, Focused ultrasound, Deep brain stimulation (DBS), Refractory epilepsy, Movement disorders, Other neurological conditions

Ratings & Reviews

Overall Rating
Rated 4.8 out of 5 stars based on 30 ratings and 6 comments.

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Dr. Koch showed genuine concern and provided information for all of the questions that my wife and I had.
August 2025
Highest level of professionalism - hard to surpass perfection & timeliness.
May 2025
Dr Koch shows concern and compassion to patients. He is committed to giving you the best of care possible. He takes his time to explain the pros and cons the treatments. He's thorough, and provides the information without pressure. You're not expected to make a lifetime decision on the spot. He's the best. His smile looks like sunshine so that is extremely helpful.
January 2025
Dr. Koch is fantastic! he listens, informs and encourages. We are forever grateful!
November 2024
Thank you. Dr. Koch listened to my concerns and gave excellent reasons for his recommendation.
June 2024
Dr. Koch, doesn't do too well of a job at helping me to understand things. Always recommends observation.
March 2024