Rick Koch is originally from Massachusetts and was a cardiology ultrasound software engineer prior to embarking upon a career in medicine. Dr. Koch pursued medicine in order to directly care for patients. During cardiology fellowship he received his Cardiac CT training at Tennessee Heart and Vascular. He subsequently practiced in Bend, Oregon for 13 years. Dr. Koch is passionate about partnering with patients to maximize quality of life and longevity. His clinical interests include: prevention, nutrition, lifestyle modification and cardiovascular imaging. Personal interests include: keeping up with 3 teenage sons, outdoor sporting activities, all things music, and Boston sports.