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NICOLE LOWREY MD, PHD
NPI 1356902381
Ophthalmology in O Fallon, IL

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment
80.14/100
CMS Quality Rating
705 INSIGHT AVE, O FALLON, IL 62269(618) 391-1660(618) 861-6003 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2025, Sep 18, 2025, Aug 2, 2024 and 1 more (4 updates tracked since 2019).

About Nicole Lowrey Md, Phd NPPES

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

NICOLE LOWREY MD, PHD (NPI 1356902381) is an individual ophthalmology provider in O Fallon, Illinois, licensed in Missouri (2019018196) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1356902381
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameNICOLE LOWREYCredential: MD, PHD
Location Address705 INSIGHT AVEO Fallon, IL 62269-2146
Mailing Address705 Insight AveO Fallon, IL 62269-2146 · (618) 391-1660 · Fax (618) 861-6003
Phone(618) 391-1660
Fax(618) 861-6003
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2019
Enumeration DateJune 20, 2019
Last NPPES UpdateDecember 11, 20254 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1356902381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MO · 2019018196✔ Licensed in IL · 036166546
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
705 INSIGHT AVE, O Fallon, IL 62269
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Secondary Practice Locations 3

Location 1400 Maple Summit RdJerseyville, IL 62052-2028 · Phone (618) 498-6402
Location 21 Professional Dr Ste 260Alton, IL 62002-5068 · Phone (618) 391-1660 · Fax (618) 861-6003
Location 312400 Olive Blvd Ste 200Saint Louis, MO 63141-5436 · Phone (314) 391-9400 · Fax (618) 861-6003

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Nicole Lowrey Md, Phd 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 ID9739415944
PECOS Enrollment IDI20230912001619
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 8

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
283 services179 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
212 services135 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.
205 services205 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.
154 services146 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
73 services55 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
53 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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.

80.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.25
Improvement Activities40
Cost54.8

Other Providers at the Same Location NPPES 6

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

IDEAL EYE SURGERY LLC
Ophthalmology
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 391-1660
CAMERON JOSEPH EVANS D.O.
Ophthalmology
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 391-1660
DR. MICHAEL VINCENT STOCK MD
Ophthalmology
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 391-1660
TAYLOR WOLKART OD
Optometrist
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 391-1660
DR. WESLEY C GREEN MD
Ophthalmology
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 738-0337
WHITNEY MARLOW M.D.
Ophthalmology
705 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 391-1660

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 Lowrey's NPI number?

The NPI number for Nicole Lowrey is 1356902381. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Nicole Lowrey located?

Nicole Lowrey practices at 705 Insight Ave, O Fallon, IL 62269. The listed phone number is (618) 391-1660.

What is Nicole Lowrey's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nicole Lowrey enrolled in Medicare?

Yes. Nicole Lowrey 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.

Is Nicole Lowrey affiliated with any hospitals?

According to CMS data, Nicole Lowrey is affiliated with Osf Saint Anthony's Health Center and Jersey Community Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Lowrey was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.