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

Q: 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.

Q: 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.

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: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 12, 2026, Mar 13, 2025, Oct 10, 2024 and 2 more (5 updates tracked since 2020).

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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 3 additional practice locations.

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 UpdateAugust 12, 20265 updates tracked since enumeration

NPPES CertifiedAugust 12, 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

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Secondary Practice Locations 3

Location 1355 W 16th St Ste 3200Indianapolis, IN 46202-2280 · Phone (317) 948-5450 · Fax (317) 948-1256

Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Location 3915 N Grand BlvdSaint Louis, MO 63106-1621 · Phone (314) 652-4100

Other Identifiers 2

Other1104332803IN · Anthem Ptan

Medicaid300051678IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

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. JILLIAN MEI-LING LIU MD PHD

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

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.

What insurance does Nicholas Levergood accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource 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 August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.