Individual provider Active NPI

Nicole Ann Legare, M.D.

  • Ophthalmology Physician
  • Mount Pleasant, SC
National Provider Identifier
1639673080
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
87121 Issued in SC
Practice address
874 Whipple Rd Ste 200
Mt Pleasant, SC 29464-8901
Phone
(352) 895-4829
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 87121 SC Primary

Addresses

Primary practice location

874 Whipple Rd Ste 200
Mt Pleasant, SC 29464-8901

Mailing address

874 Whipple Rd Ste 200
Mt Pleasant, SC 29464-8901

Other practice location 1

1460 Pressburg St
New Orleans, LA 70122-2046
Phone (352) 895-4829

Other names 1

  • Nicole Ann Spitzer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914003502 SC Practitioner - Ophthalmology 7911237102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Univ of Central Florida, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

874 Whipple Rd
Suite 200
Mount Pleasant, SC 29464-8901
Phone (843) 277-6600

Merit-based Incentive Payment System (MIPS)

Final score
83.65 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
45.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
87121SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Pleasant Eye Surgeons LLC Ophthalmology Current Accepting new patients
Eye Associates of Mount Pleasant Ophthalmology CurrentSince Jun 21, 2022 Accepting new patients

Locations

874 Whipple Rd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 277-6600

Interoperability endpoints

  • Direct secure messaging: nlegare@mtpes.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1639673080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 WHIPPLE RD STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 WHIPPLE RD STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648901",
            "telephone_number": "352-895-4829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 Pressburg St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701222046",
            "country_code": "US",
            "telephone_number": "352-895-4829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGARE",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "87121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SPITZER",
            "middle_name": "ANN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.