NICOLE ANN LEGARE M.D.
NPI 1639673080
Ophthalmology in Mt Pleasant, SC

Q: What is Nicole Legare's NPI number?

The NPI number for Nicole Legare is 1639673080. It was assigned to this individual provider in the NPPES registry on March 21, 2018. The provider is also known as Nicole Ann Spitzer M.D..

Q: What is Nicole Legare's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Legare was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 March 21, 2018PECOS EnrolledAccepts Medicare Assignment

78.73/100

CMS Quality Rating

874 WHIPPLE RD STE 200, MT PLEASANT, SC 29464(352) 895-4829 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2022, Dec 20, 2021, Sep 5, 2019 and 2 more (5 updates tracked since 2018).

On this page

About Nicole Ann Legare M.d. NPPES

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

NICOLE ANN LEGARE M.D. (NPI 1639673080) is an individual ophthalmology provider in Mt Pleasant, South Carolina, licensed in South Carolina (87121) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Orleans, and is a graduate of Univ Of Central Florida, College Of Medicine (2018).

NPPES Registry Identity

NPI1639673080

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameNICOLE ANN LEGARECredential: M.D.

Location Address874 WHIPPLE RD STE 200Mt Pleasant, SC 29464-8901

Mailing Address874 Whipple Rd Ste 200Mt Pleasant, SC 29464-8901

Phone(352) 895-4829

Sole ProprietorYes

Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2018

Enumeration DateMarch 21, 2018

Last NPPES UpdateSeptember 22, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2022

✔ NPI 1639673080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in SC · 87121

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.

874 WHIPPLE RD STE 200, Mt Pleasant, SC 29464

Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Ann Spitzer M.d.

Secondary Practice Location 1

Location 11460 Pressburg StNew Orleans, LA 70122-2046 · Phone (352) 895-4829

Accepted Insurance

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

Nicole Ann Legare M.d. 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 ID7911237102

PECOS Enrollment IDI20220914003502

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 Reassignment

Medicare enrollment records show Nicole Legare reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Associates Of Mount Pleasant

Same address

Ophthalmology

874 WHIPPLE RD STE 200
Mount Pleasant, SC 29464

Reassigned Medicare billing, South Carolina enrollment

NPI 1790436210 (843) 277-6600

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

Areas of Expertise CMS Part B claims 14

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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

507 services474 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.

238 services169 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.

212 services127 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

165 services151 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

135 services130 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

105 services105 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.

75 services67 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.

47 services27 patients

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.

43 services26 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.

32 services32 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.

30 services23 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

22 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

78.73/100

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

Individually scored

Quality

100

Improvement Activities

Cost

29.12

Reported Quality Measures

Complications After Cataract Surgery

Lower rates are better for this measure.

0%41 patients

Diabetes: Eye Exam

100%204 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

91%148 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%152 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,127 patients

Patients totalRate: 0% · 1,127 patients

0%1,127 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

MT. PLEASANT PSYCHIATRY LLC

Psychiatry & Neurology (Psychiatry)

874 WHIPPLE RD STE 200
MT PLEASANT, SC 29464

Charleston County (843) 400-4089

DR. BRETT KAHN D.C

Chiropractor

874 WHIPPLE RD STE 200
MOUNT PLEASANT, SC 29464

Charleston County (843) 400-4087

EYE ASSOCIATES OF MOUNT PLEASANT

Ophthalmology

874 WHIPPLE RD STE 200
MOUNT PLEASANT, SC 29464

Charleston County (843) 277-6600

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 Legare's NPI number?

The NPI number for Nicole Legare is 1639673080. It was assigned to this individual provider in the NPPES registry on March 21, 2018. The provider is also known as Nicole Ann Spitzer M.D..

Where is Nicole Legare located?

Nicole Legare practices at 874 Whipple Rd Ste 200, Mt Pleasant, SC 29464. The listed phone number is (352) 895-4829.

What is Nicole Legare's specialty?

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

Is Nicole Legare enrolled in Medicare?

Yes. Nicole Legare 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 organization bills Medicare for Nicole Legare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Legare reassigns Medicare benefits to Eye Associates Of Mount Pleasant (Mount Pleasant, SC). The 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 Nicole Legare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Legare accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina and 2 other insurers list Nicole Legare 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.

When was this NPI record last updated?

The NPPES record for Nicole Legare was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.