DR. NICOLE MARIE DUCHARME DO
NPI 1346208394
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Louis, MO

Q: What is Nicole Ducharme's NPI number?

The NPI number for Nicole Ducharme is 1346208394. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Nicole Ducharme's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Ducharme was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment

79.29/100

CMS Quality Rating

5201 MID AMERICA PLZ, DIV IM ENDOCRINOLOGY, SAINT LOUIS, MO 63129(314) 362-3500(314) 230-1119 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 4 more (7 updates tracked since 2015).

On this page

About Dr. Nicole Marie Ducharme Do NPPES

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

DR. NICOLE MARIE DUCHARME DO (NPI 1346208394) is an individual endocrinology, diabetes & metabolism provider in Saint Louis, Missouri, licensed in Missouri (2009008025) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2003).

NPPES Registry Identity

NPI1346208394

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. NICOLE MARIE DUCHARMECredential: DO

Location Address5201 MID AMERICA PLZ, DIV IM ENDOCRINOLOGYSaint Louis, MO 63129-0002

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-3500 · Fax (314) 230-1119

Phone(314) 362-3500

Fax(314) 230-1119

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2003

Enumeration DateMay 1, 2006

Last NPPES UpdateApril 17, 20257 updates tracked since enumeration

✔ NPI 1346208394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in MO · 2009008025

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2009008025 (MO)

5201 MID AMERICA PLZ, Saint Louis, MO 63129

Open in Google Maps ↗

Other Identifiers 1

Medicaid209421601MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Dr. Nicole Marie Ducharme Do 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 ID4789722752

PECOS Enrollment IDI20091111000580

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.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, vedolizumab, intravenous, 1 mg J3380

Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.

20,700 services13 patients

Injection, romosozumab-aqqg, 1 mg J3111

Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.

14,700 services16 patients

Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561

This is an injection of immune globulin, specifically Gamunex-C or Gammaked. It's a liquid form, not freeze-dried. Immune globulin is a blood product that helps your immune system to fight infections. It's given in a dose of 500 mg.

13,180 services23 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

7,680 services93 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

5,900 services12 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

3,660 services15 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

3,500 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

433 services290 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

418 services102 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

300 services40 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

225 services117 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

221 services161 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

169 services85 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

123 services103 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250

This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.

61 services58 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

50 services18 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

40 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

31 services31 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

20 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services17 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

18 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260032

LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County

Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260108

Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County

Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260162

Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County

Emergency services

Parkland Health Center

Acute Care Hospitals · Farmington, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260163

Location1101 W LibertyFarmington, MO 63640 · St. Francois County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63129 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

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.46

Promoting Interoperability

100

Improvement Activities

Cost

59.51

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

3 suppliers16 claims206 services$18.34 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

3 suppliers15 claims450 services$2.37 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

37 suppliers89 claims296 services$5.86 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

20 suppliers41 claims67 services$1.11 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

3 suppliers11 claims11 services$326.71 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

6 suppliers19 claims1,170 services$6.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. KOUSHIK KUMAR DAS MD

Internal Medicine (Gastroenterology)

5201 MID AMERICA PLZ, DIV IM GASTROENTEROLOGY, STE 2300
SAINT LOUIS, MO 63129

St. Louis County (314) 747-2066

DR. BRANDEN EDWARD YEE MD

Anesthesiology

5201 MID AMERICA PLZ, DEPT ANESTHESIOLOGY, STE 1300
SAINT LOUIS, MO 63129

St. Louis County (800) 862-9980

MR. RYAN J VALLO PA

Physician Assistant

5201 MID AMERICA PLZ, DEPT ORTHOPAEDIC SURG, STE 1500
SAINT LOUIS, MO 63129

St. Louis County (314) 514-3500

DR. OMAR HANI ELSAYED-ALI MD

Internal Medicine (Allergy & Immunology)

5201 MID AMERICA PLZ, DIV IM ALLERGY AND IMMUNOLOGY, STE 2300
SAINT LOUIS, MO 63129

St. Louis County (314) 996-8670

MS. SENADA FENELON AGNP

Nurse Practitioner (Gerontology)

5201 MID AMERICA PLZ, DIV IM RHEUMATOLOGY, STE 2300
SAINT LOUIS, MO 63129

St. Louis County (314) 286-2635

DR. ANGELA JOANN DEMETRULIAS OD

Optometrist

5201 MID AMERICA PLZ, DIV OPTHALMOLOGY, STE 2500
SAINT LOUIS, MO 63129

St. Louis County (314) 273-0020

DR. STEVEN A LAUTER MD

Internal Medicine (Rheumatology)

5201 MID AMERICA PLZ
SAINT LOUIS, MO 63129

St. Louis County (314) 514-3500

DR. OSLER JAY JUSTO GUZON MD

Internal Medicine (Cardiovascular Disease)

5201 MID AMERICA PLZ, DIV IM CARDIOLOGY, STE 2300
SAINT LOUIS, MO 63129

St. Louis County (314) 362-1291

MS. KAREN KAY MOORE FNP

Nurse Practitioner (Family)

5201 MID AMERICA PLZ, DIV IM CARDIOLOGY, STE 2300
SAINT LOUIS, MO 63129

St. Louis County (314) 362-1291

MS. LINDA TRINH BOUCHER FNP

Nurse Practitioner (Family)

5201 MID AMERICA PLZ, DIV IM CARDIOLOGY, STE 2300
SAINT LOUIS, MO 63129

St. Louis County (314) 362-1291

DR. SUDHIR K JAIN MD

Internal Medicine (Cardiovascular Disease)

5201 MID AMERICA PLZ, DIV IM CARDIOLOGY, STE 2300
SAINT LOUIS, MO 63129

St. Louis County (314) 362-1291

MS. HELEN M WIJEWEERA ANP

Nurse Practitioner (Adult Health)

5201 MID AMERICA PLZ, DIV IM ENDOCRINOLOGY
SAINT LOUIS, MO 63129

St. Louis County (314) 362-3500

DR. TIFFANY BIASON DY MD

Internal Medicine (Allergy & Immunology)

5201 MID AMERICA PLZ, DIV IM ALLERGY AND IMMUNOLOGY, STE 2300
SAINT LOUIS, MO 63129

St. Louis County (314) 996-8670

DR. RICHARD H WIEDER MD

Ophthalmology

5201 MID AMERICA PLZ, DEPT OPTHALMOLOGY, STE 2500
SAINT LOUIS, MO 63129

St. Louis County (314) 273-0020

DR. KATHLEEN MARY LOWE MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

5201 MID AMERICA PLZ, DIV IM BONE AND MINERAL, STE 2300
SAINT LOUIS, MO 63129

St. Louis County (314) 454-7775

WASHINGTON UNIVERSITY

Durable Medical Equipment & Medical Supplies

5201 MID AMERICA PLZ, SUITE 1500
SAINT LOUIS, MO 63129

St. Louis County (314) 286-2900

DR. JENNIFER MARIE MONROY MD

Internal Medicine (Allergy & Immunology)

5201 MID AMERICA PLZ, DIV IM ALLERGY AND IMMUNOLOGY, STE 2300
SAINT LOUIS, MO 63129

St. Louis County (314) 996-8670

MS. CHRISTINA M LYERLA CRNA

Nurse Anesthetist, Certified Registered

5201 MID AMERICA PLZ, DEPT ANESTHESIOLOGY, STE 1300
SAINT LOUIS, MO 63129

St. Louis County (800) 862-9980

DR. CECILIA SUNGMIN LEE MD

Ophthalmology (Retina Specialist)

5201 MID AMERICA PLZ, DEPT OPTHALMOLOGY, STE 2500
SAINT LOUIS, MO 63129

St. Louis County (314) 273-0020

PROREHAB PC

Physical Therapist

5201 MID AMERICA PLZ, SUITE 2600
SAINT LOUIS, MO 63129

St. Louis County (314) 487-7000

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 Nicole Ducharme's NPI number?

The NPI number for Nicole Ducharme is 1346208394. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Nicole Ducharme located?

Nicole Ducharme practices at 5201 Mid America Plz Div Im Endocrinology, Saint Louis, MO 63129. The listed phone number is (314) 362-3500.

What is Nicole Ducharme's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nicole Ducharme enrolled in Medicare?

Yes. Nicole Ducharme 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 Nicole Ducharme accept?

Health plans from Cox HealthPlans list Nicole Ducharme 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 Nicole Ducharme affiliated with any hospitals?

According to CMS data, Nicole Ducharme is affiliated with Memorial Hospital, Barnes Jewish Hospital, Missouri Baptist Medical Center, Barnes-Jewish West County Hospital and Parkland Health Center.

When was this NPI record last updated?

The NPPES record for Nicole Ducharme was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.