Active NPI 1578590634 Individual Practitioner Male Practitioner

Dr. Steven Michael Couch , MD

Ophthalmology • Saint Louis, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Steven Couch, MD is a certified Ophthalmology practicing in Saint Louis, MO. With approximately 20 years of clinical experience since graduating from University Of Missouri, Kansas City, School Of Medicine in 2006, Dr. Couch delivers high-quality medical care to the local community at 450 N NEW BALLAS RD.

Dr. Couch is affiliated with Washington University and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

450 N New Ballas Rd
Dept Ophthalmology, Ste 260

Saint Louis, MO 631416859

Telephone 3143623937

Fax 8665058818

Associated Practice Facility / Clinic

🏢 Ballas Cancer Center, Llc Facility NPI 1457343634

Medicare Profile & Education

Medical School

University Of Missouri, Kansas City, School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Saint Louis, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -5.8 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

115 Specialists

Practicing in Saint Louis, MO (374 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Couch (20 Years) 20 Yrs

Saint Louis Specialty Average (25.8 Years) 25.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	8,612	27	$8.00	$6.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	155	$195.00	$122.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	152	152	$395.00	$159.32
99213 Established patient office or other outpatient visit, typically 15 minutes	118	93	$145.00	$87.27
64612 Injection of chemical for paralysis of nerve muscles on side of face	88	27	$637.50	$160.31
92083 Exam of visual field with extended testing	56	44	$175.00	$58.96
92081 Exam of visual field with limited testing	47	46	$131.00	$31.72
67840 Removal of eyelid growth	31	30	$1050.00	$247.27
67904 Repair of tendon of upper eyelid	26	26	$5423.08	$793.16
15823 Removal of excessive skin and fat of upper eyelid	25	25	$2880.00	$776.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$260.00	$107.03
68840 Probing of nasal-tear duct	22	21	$750.00	$157.78
68815 Probing of nasal-tear duct with insertion of tube or stent	13	13	$1569.23	$170.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	7,900	25	$8.00	$6.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$350.00	$163.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	99	$180.00	$125.45
99213 Established patient office or other outpatient visit, typically 15 minutes	122	96	$115.00	$89.20
64612 Injection of chemical for paralysis of nerve muscles on side of face	79	25	$618.67	$166.17
92083 Exam of visual field with extended testing	75	70	$155.00	$61.47
67840 Removal of eyelid growth	34	29	$900.00	$251.04
68840 Probing of nasal-tear duct	28	27	$512.50	$161.54
67904 Repair of tendon of upper eyelid	16	16	$4725.00	$763.85
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$2450.00	$715.65
67904 Repair of tendon of upper eyelid	13	11	$4361.54	$761.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$210.00	$110.79
15823 Removal of excessive skin and fat of upper eyelid	12	12	$2875.00	$807.06
67917 Extensive repair of turning-outward eyelid defect	11	11	$1890.91	$408.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	8,500	28	$8.00	$6.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$350.00	$166.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	87	$180.00	$128.30
99213 Established patient office or other outpatient visit, typically 15 minutes	104	74	$115.00	$90.88
64612 Injection of chemical for paralysis of nerve muscles on side of face	87	28	$620.40	$166.19
92083 Exam of visual field with extended testing	52	48	$155.00	$62.72
67840 Removal of eyelid growth	26	23	$900.00	$253.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$210.00	$112.13
68840 Probing of nasal-tear duct	16	16	$546.88	$170.38
67904 Repair of tendon of upper eyelid	14	14	$5014.29	$844.11
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	13	$2450.00	$753.67
92081 Exam of visual field with limited testing	12	12	$131.00	$33.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	7,900	30	$8.00	$5.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	91	$179.77	$130.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$350.00	$166.51
99213 Established patient office or other outpatient visit, typically 15 minutes	102	80	$115.00	$91.27
64612 Injection of chemical for paralysis of nerve muscles on side of face	82	31	$596.04	$162.74
92081 Exam of visual field with limited testing	57	55	$131.00	$33.92
67904 Repair of tendon of upper eyelid	27	25	$5100.00	$857.94
67840 Removal of eyelid growth	25	19	$900.00	$237.08
15823 Removal of excessive skin and fat of upper eyelid	19	19	$3000.00	$830.02
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	15	$2200.00	$819.76
68840 Probing of nasal-tear duct	14	12	$425.00	$148.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$210.00	$113.05
67917 Extensive repair of turning-outward eyelid defect	12	11	$1516.67	$247.19
92083 Exam of visual field with extended testing	11	11	$155.00	$63.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	7,290	29	$8.00	$6.00
99213 Established patient office or other outpatient visit, typically 15 minutes	179	139	$100.00	$75.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$349.33	$164.87
64612 Injection of chemical for paralysis of nerve muscles on side of face	74	30	$603.04	$164.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	47	$155.00	$108.40
92081 Exam of visual field with limited testing	43	43	$131.00	$33.82
67840 Removal of eyelid growth	26	24	$900.00	$254.82
68840 Probing of nasal-tear duct	19	19	$534.21	$163.03
67904 Repair of tendon of upper eyelid	12	12	$5116.67	$807.48
67924 Extensive repair of turning-inward eyelid defect	11	11	$3309.09	$452.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	7,702	27	$8.00	$5.90
99213 Established patient office or other outpatient visit, typically 15 minutes	266	207	$100.00	$73.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	171	171	$250.00	$161.82
64612 Injection of chemical for paralysis of nerve muscles on side of face	81	27	$530.31	$165.42
67840 Removal of eyelid growth	63	55	$650.00	$254.36
92081 Exam of visual field with limited testing	53	53	$131.00	$32.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$155.00	$108.05
67904 Repair of tendon of upper eyelid	27	27	$4264.81	$843.73
67917 Extensive repair of turning-outward eyelid defect	24	23	$1494.79	$372.70
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	23	22	$2025.00	$834.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$180.00	$104.64
68840 Probing of nasal-tear duct	18	18	$563.89	$168.05
67924 Extensive repair of turning-inward eyelid defect	16	16	$2925.00	$442.96
67875 Temporary closure of eyelids by suture	14	14	$830.36	$50.31
15823 Removal of excessive skin and fat of upper eyelid	12	12	$3000.00	$819.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	6,999	25	$8.00	$5.95
99213 Established patient office or other outpatient visit, typically 15 minutes	285	234	$100.00	$71.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	183	183	$250.00	$161.76
64612 Injection of chemical for paralysis of nerve muscles on side of face	72	26	$537.43	$162.97
67840 Removal of eyelid growth	64	59	$685.16	$257.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	44	$155.00	$104.45
92081 Exam of visual field with limited testing	34	33	$131.00	$33.30
92083 Exam of visual field with extended testing	31	30	$153.48	$59.71
67917 Extensive repair of turning-outward eyelid defect	26	25	$1498.08	$373.38
67904 Repair of tendon of upper eyelid	21	21	$4619.05	$861.24
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	19	$1885.26	$640.05
67875 Temporary closure of eyelids by suture	19	16	$818.42	$49.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$180.00	$102.64
67924 Extensive repair of turning-inward eyelid defect	16	16	$2746.25	$482.98
68815 Probing of nasal-tear duct with insertion of tube or stent	16	15	$1200.00	$137.29
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	14	$1920.00	$833.89
68840 Probing of nasal-tear duct	14	14	$425.00	$162.81
15823 Removal of excessive skin and fat of upper eyelid	13	13	$2884.62	$788.74
92082 Exam of visual field with intermediate testing	13	13	$110.00	$47.31
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1914.55	$735.06
68720 Creation of drainage tract from tear sac to the nasal cavity	11	11	$2000.00	$681.97
67917 Extensive repair of turning-outward eyelid defect	11	11	$1677.27	$604.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,800	25	$8.00	$5.72
99213 Established patient office or other outpatient visit, typically 15 minutes	254	205	$100.00	$70.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	182	182	$250.00	$159.89
64612 Injection of chemical for paralysis of nerve muscles on side of face	63	26	$563.49	$163.37
67840 Removal of eyelid growth	53	45	$664.15	$253.42
92081 Exam of visual field with limited testing	45	43	$131.00	$32.99
67917 Extensive repair of turning-outward eyelid defect	30	28	$1503.33	$402.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$155.00	$105.12
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	26	26	$1800.00	$632.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$180.00	$105.94
68840 Probing of nasal-tear duct	21	20	$350.00	$134.75
67904 Repair of tendon of upper eyelid	19	18	$4318.42	$787.96
68815 Probing of nasal-tear duct with insertion of tube or stent	18	18	$1200.00	$126.75
67810 Biopsy of eyelid	14	14	$600.00	$157.46
67875 Temporary closure of eyelids by suture	12	11	$775.00	$47.99
92083 Exam of visual field with extended testing	12	11	$151.08	$54.93
15823 Removal of excessive skin and fat of upper eyelid	12	12	$2875.00	$760.31

Medical Specialties & State Licenses

CMS Verified: 2022-06-07

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MO 2010014461

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

204173504 (MO)

Hospital & Practice Group Affiliations

Washington University

10 Barnes W Dr, Saint Louis, MO 631416350

Phone: 3149963300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Jing-Wei Huang , MD

Ophthalmology - Cornea and External Diseases Specialist

NPI 1023194131

Doctor of Medicine (M.D.)

Dr. Jillian Liu , MD PHD

Ophthalmology - Cornea and External Diseases Specialist

NPI 1023647898

MDPHD

Dr. Eric Harris , OD

Optometrist

NPI 1043591365

Doctor of Optometry

Dr. Aaron Lee , MD

Ophthalmology - Retina Specialist

NPI 1063649713

Doctor of Medicine (M.D.)

Sofia Ramos Bartolomei

Ophthalmology - Cornea and External Diseases Specialist

NPI 1083246367

Dr. Marilyn Collins , MD

Ophthalmology - Cornea and External Diseases Specialist

NPI 1083291132

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events

📍

Updated Business Mailing Address April 18, 2025

Registered at PO BOX 7412011, CHICAGO, IL 606742011 (Tel: 3143623937)

📍

Updated Practice Location May 09, 2024

Registered at 450 N NEW BALLAS RD, DEPT OPHTHALMOLOGY, STE 260, SAINT LOUIS, MO 631416859 (Tel: 3143623937)

📍

Updated Business Mailing Address May 09, 2024

Registered at PO BOX 60352, SAINT LOUIS, MO 631600352 (Tel: 3143623937)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2024

Ophthalmology (License #2010014461 in MO)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2022

Ophthalmology (License #20100014461 in MO)

📍

Updated Practice Location November 15, 2021

Registered at 4901 FOREST PARK AVE, 6TH FL, SAINT LOUIS, MO 631081495 (Tel: 3143623937)

📍

Updated Business Mailing Address November 15, 2021

Registered at 660 S EUCLID AVE, CB 8096, SAINT LOUIS, MO 631101010 (Tel: 3143623937)

✅

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2018

Registered at 4901 FOREST PARK AVE FL 6, 6TH FL, SAINT LOUIS, MO 631081402 (Tel: 3143623937)

📍

Updated Business Mailing Address January 24, 2018

Registered at 660 S EUCLID AVE, C B 8096, SAINT LOUIS, MO 631101010 (Tel: 3143623937)

👤

Provider Name / Credentials Updated January 24, 2018

Recorded as STEVEN COUCH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Ophthalmology (License #2010014461 in MO)

✅

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2016

Registered at 10 BARNES WEST DR, STE 201, SAINT LOUIS, MO 631416350 (Tel: 3143623937)

📍

Updated Business Mailing Address November 14, 2016

Registered at 660 S EUCLID AVE, C B 8096, SAINT LOUIS, MO 631101010 (Tel: 3143623937)

👤

Provider Name / Credentials Updated November 14, 2016

Recorded as STEVEN COUCH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Ophthalmology (License #2010014461 in MO)

🟢

Initial NPI Registration & Enumeration June 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578590634

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 26, 2006

Last Update: April 18, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7412011

Chicago, IL 606742011

Phone: 3143623937

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.