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NICHOLAS PORTELL OD
NPI 1851916035
Optometrist in Saint Charles, MO

Active since June 12, 2020PECOS EnrolledAccepts Medicare Assignment
2121 ZUMBEHL RD, SAINT CHARLES, MO 63303(636) 949-2906(636) 949-2914 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2021, Jun 12, 2020 (2 updates tracked since 2020).

About Nicholas Portell Od NPPES

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

NICHOLAS PORTELL OD (NPI 1851916035) is an individual optometrist in Saint Charles, Missouri, licensed in Missouri (2020015799) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Independence, and is a graduate of University Of Missouri St Louis - School Of Optometry (2020).

NPPES Registry Identity

NPI1851916035
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameNICHOLAS PORTELLCredential: OD
Location Address2121 ZUMBEHL RDSaint Charles, MO 63303-2724
Mailing AddressPo Box 207158Dallas, TX 75320-7158 · (636) 200-4393 · Fax (636) 527-0766
Phone(636) 949-2906
Fax(636) 949-2914
Sole ProprietorYes
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2020
Enumeration DateJune 12, 2020
Last NPPES UpdateApril 26, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1851916035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · 2020015799
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2121 ZUMBEHL RD, Saint Charles, MO 63303
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Secondary Practice Location 1

Location 113900 E US Hwy, Suite AIndependence, MO 64055 · Phone (816) 478-0500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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 Portell Od 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 ID3870902844
PECOS Enrollment IDI20210503002133
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 Nicholas Portell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clarkson Optometry, Inc
13 mi
Optometrist
217 CLARKSON RD
Ellisville, MO 63011
  • Reassigned Medicare billing, Missouri enrollment
  • 124 clinicians in this Medicare group
NPI 1497155345 (636) 200-4393

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 3

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.
21 services21 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.
20 services18 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63303 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 2

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

CLARKSON OPTOMETRY INC
Optometrist
2121 ZUMBEHL RD
SAINT CHARLES, MO 63303
St. Charles County (636) 200-4393
DR. ANN ELIZABETH TANG O.D.
Optometrist
2121 ZUMBEHL RD
SAINT CHARLES, MO 63303
St. Charles County (636) 949-2906

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 Portell's NPI number?

The NPI number for Nicholas Portell is 1851916035. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Where is Nicholas Portell located?

Nicholas Portell practices at 2121 Zumbehl Rd, Saint Charles, MO 63303. The listed phone number is (636) 949-2906.

What is Nicholas Portell's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicholas Portell enrolled in Medicare?

Yes. Nicholas Portell 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 Nicholas Portell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Portell reassigns Medicare benefits to Clarkson Optometry, Inc (Ellisville, MO). 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 Nicholas Portell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Portell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 15 other insurers list Nicholas Portell 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 Nicholas Portell was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.