NICOLE MARIE CLEMENTS JODY MD
NPI 1932690294
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Louisville, KY

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
2933 BRECKENRIDGE LN STE 102, LOUISVILLE, KY 40220(502) 588-9588(502) 588-0554 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2024, Nov 9, 2023, Jun 6, 2022 and 1 more (4 updates tracked since 2018).

About Nicole Marie Clements Jody Md NPPES

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

NICOLE MARIE CLEMENTS JODY MD (NPI 1932690294) is an individual pediatric ophthalmology and strabismus specialist in Louisville, Kentucky, licensed in Kentucky (59604) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2017).

NPPES Registry Identity

NPI1932690294
Entity TypeIndividualFemale
Primary Taxonomy207WX0110X
Provider Legal NameNICOLE MARIE CLEMENTS JODYCredential: MD
Location Address2933 BRECKENRIDGE LN STE 102Louisville, KY 40220-1494
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 559-9411 · Fax (502) 272-5339
Fax(502) 588-0554
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2017
Enumeration DateMay 22, 2018
Last NPPES UpdateJuly 31, 20244 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1932690294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in KY · 59604
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedInternal MedicineTaxonomy 207R00000X · License R76837 (AZ)
Also ListedOphthalmologyTaxonomy 207W00000X · License 59604 (KY), A179129 (CA)
2933 BRECKENRIDGE LN STE 102, Louisville, KY 40220

Other Names 1

Former Name (1)Nicole Marie Clements

Accepted 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 Marie Clements Jody 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 ID2961736665
PECOS Enrollment IDI20241031002056
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 Reassignments

3

Medicare enrollment records show Nicole Jody reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
Transplant Surgery
2020 WELLNESS WAY, STE 506
Las Vegas, NV 89106
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
Ophthalmology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 129 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40220 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES

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

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
2933 BRECKENRIDGE LN STE 102
LOUISVILLE, KY 40220

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 Jody's NPI number?

The NPI number for Nicole Jody is 1932690294. It was assigned to this individual provider in the NPPES registry on May 22, 2018. The provider is also known as Nicole Marie Clements.

Where is Nicole Jody located?

Nicole Jody practices at 2933 Breckenridge Ln Ste 102, Louisville, KY 40220. The listed phone number is (502) 588-9588.

What is Nicole Jody's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Nicole Jody enrolled in Medicare?

Yes. Nicole Jody 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 organizations bill Medicare for Nicole Jody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Jody reassigns Medicare benefits to 3 organizations: Norton Children's Medical Group, LLC (Louisville, KY), Faculty Physicians And Surgeons Of Llusm (Las Vegas, NV) and Regents Of The University Of California (San Diego, CA). Each 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 Jody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Jody accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Nicole Jody 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 Jody was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.