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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS RICHARD LEVERGOOD MD
NPI 1033748108
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Saint Louis, MO

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL, SAINT LOUIS, MO 63108(314) 362-3937(866) 505-8818 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2026, Aug 12, 2026, Mar 13, 2025 and 3 more (6 updates tracked since 2020).

About Nicholas Richard Levergood Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS RICHARD LEVERGOOD MD (NPI 1033748108) is an individual ophthalmic plastic and reconstructive surgery provider in Saint Louis, Missouri, licensed in Missouri (2026010211) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1033748108
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameNICHOLAS RICHARD LEVERGOODCredential: MD
Location Address4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FLSaint Louis, MO 63108-1495
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (317) 362-3937 · Fax (866) 505-8818
Phone(314) 362-3937
Fax(866) 505-8818
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateSeptember 16, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1033748108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in MO · 2026010211
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License 01093315A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4901 FOREST PARK AVE, Saint Louis, MO 63108
Open in Google Maps ↗

Secondary Practice Location 1

Location 1915 N Grand BlvdSaint Louis, MO 63106-1621 · Phone (314) 652-4100

Other Identifiers 3

Medicaid300051678IN
Medicaid1033748108MO
Other1104332803IN · Anthem Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Richard Levergood Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385075563
PECOS Enrollment IDI20241017000814, I20260610001776
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Nicholas Levergood reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University
Same address
Multi-Specialty
4901 FOREST PARK AVE
Saint Louis, MO 63108
  • Reassigned Medicare billing, Missouri enrollment
  • 105 clinicians in this Medicare group
NPI 1013957562 (314) 362-3937
Ophthalmic Plastic & Cosmetic Surgery, Inc.
11 mi
Specialist
12990 MANCHESTER RD, SUITE 102
Des Peres, MO 63131
  • Reassigned Medicare billing, Missouri enrollment
  • 7 clinicians in this Medicare group
NPI 1942497805 (314) 567-3567
Indiana Clinic-Neurology, LLC
233 mi
Neurology
545 BARNHILL DR, EH 125
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 104 clinicians in this Medicare group
NPI 1578792271 (317) 274-8800
Iu Health Medical Group, LLC
234 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIN LEIGH DYER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
DR. NICHOLE GALLEGOS ZEHNDER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
MRS. NANCY J CIBULKA WHNP
Nurse Practitioner (Family)
4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108
St. Louis City (314) 454-7882
DR. MARCIA J MCCABE PSYD
Psychologist
4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
WASHINGTON UNIVERSITY
Clinic/Center (Multi-Specialty)
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. JING-WEI HUANG MD
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. DAVID L EISENBERG MD
Obstetrics & Gynecology (Gynecology)
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108
St. Louis City (314) 362-4211
MS. SANDRA L FORNEY CNM
Nurse Practitioner (Women's Health)
4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108
St. Louis City (314) 454-7882

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Levergood's NPI number?

The NPI number for Nicholas Levergood is 1033748108. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Nicholas Levergood located?

Nicholas Levergood practices at 4901 Forest Park Ave Dept Ophthalmology, 6th Fl, Saint Louis, MO 63108. The listed phone number is (314) 362-3937.

What is Nicholas Levergood's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Nicholas Levergood enrolled in Medicare?

Yes. Nicholas Levergood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicholas Levergood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Levergood reassigns Medicare benefits to 4 organizations: Washington University (Saint Louis, MO), Ophthalmic Plastic & Cosmetic Surgery, Inc. (Des Peres, MO), Indiana Clinic-Neurology, LLC (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Levergood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Levergood accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Nicholas Levergood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Levergood affiliated with any hospitals?

According to CMS data, Nicholas Levergood is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Nicholas Levergood was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.