Doctor profile · Federal record

Dr. Steven Couch, MD

Ophthalmology Physician (CMS: Ophthalmology) · Saint Louis, MO

  • NPI 1578590634
  • Accepts Medicare
  • MIPS 79.3 / 100 · 2023
  • 20 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
450 N New Ballas RD, Dept Ophthalmology, Ste 260
Saint Louis, MO 631416859
(314) 362-3937
fax (866) 505-8818
Mailing address
Po Box 7412011
Chicago, IL 606742011

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
April 18, 2025
Year of graduation
2006 — 20 yrs since
Specialty taxonomy
207W00000X — NUCC code
State license (1)
Missouri #2010014461
Medicaid
MO #204173504

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1578590634. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
8,592
Distinct HCPCS
10
Medicare allowed
$178,986
HCPCS Description Services Patients Avg allowed
J0585 Injection, onabotulinumtoxina, 1 unit 7,900 25 $6
99204 New patient office or other outpatient visit, 45-59 minutes 150 150 $164
99214 Established patient office or other outpatient visit, 30-39 minutes 126 99 $125
99213 Established patient office or other outpatient visit, 20-29 minutes 122 96 $89
64612 Injection of chemical for paralysis of nerve muscles on side of face 79 25 $166
92083 Exam of visual field with extended testing 75 70 $61
67840 Removal of growth of eyelid 34 29 $251
68840 Probing of nasal tear duct 28 27 $162
67904 Repair of tendon of upper eyelid 16 16 $764
15260 Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 14 14 $716

In context: peer comparison

Among 24 peers in Saint Louis Ophthalmology Physician, average services per provider: 1,413. This provider delivers 6.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
475
Patients
285
Total drug cost
$5,005
Drug Type Claims Patients Total cost
Erythromycin (Erythromycin Base) Brand 390 266 $4,227
Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) Brand 40 19 $303
Prednisone Generic 12 0 $105
Methylphenidate Hcl Generic 11 0 $191
Ondansetron Odt (Ondansetron) Brand 11 0 $104
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 11 0 $75

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Steven Couch's medical specialty?
Dr. Steven Couch practices Ophthalmology Physician in Saint Louis, MO.
Where does Dr. Steven Couch practice?
Dr. Steven Couch practices at 450 N New Ballas RD, Saint Louis, MO 631416859. Office phone: 3143623937.
What is Dr. Steven Couch's NPI?
Dr. Steven Couch's National Provider Identifier (NPI) is 1578590634, issued by NPPES.
Does Dr. Steven Couch accept Medicare assignment?
Yes. Dr. Steven Couch accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Steven Couch commonly perform?
Top Medicare-reported procedures in 2023: Injection, onabotulinumtoxina, 1 unit (HCPCS J0585); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.