2026 NPPES data Ophthalmology Physician NPI 1578590634 MD
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STEVEN COUCH, MD

Ophthalmology Physician in SAINT LOUIS, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
582
Medicare Part D claims · 324 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.292/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: STEVEN COUCH, MD is a Ophthalmology Physician ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 582 claims across 324 beneficiaries — 8% brand-name prescribing . Their CMS MIPS Final Score of 79.292/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: STEVEN COUCH, MD reported a CMS MIPS final score of 79.292 out of 100, below the 83.1 national average, and filed 582 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

STEVEN COUCH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

STEVEN COUCH, MD at a glance

Near national average

NPI registry status

Active

Issued 06/26/2006

NPI 1578590634

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

582 59% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

79.292/100 3.8079999999999927% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Ophthalmology Physician compares to other specialties among Missouri providers

Missouri providers

Ophthalmology Physician share within Missouri

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Missouri

Medicare quality performance — MIPS

STEVEN COUCH, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Near national average
MIPS Final Score
79.292/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 79.292/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Ophthalmology Physician) — 79.292/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

STEVEN COUCH, MD is a Ophthalmology Physician provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1578590634. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

STEVEN COUCH, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 450 N NEW BALLAS RD, SAINT LOUIS, MO, 63141, with a listed phone of (314) 362-3937. NPI 1578590634 was issued on 06/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COUCH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 582 prescription claims written by this provider, covering 324 Medicare beneficiaries and totaling roughly $33K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 2.7%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.292/100 for the 2023 performance year (Quality 71.46, Cost 59.5132), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

450 N NEW BALLAS RD
SAINT LOUIS, MO 63141

Provider Details

NPI 1578590634
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 06/26/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.292
Final Score
Avg: 83.1
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where STEVEN COUCH, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

WASHINGTON UNIVERSITY
SAINT LOUIS, MO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

STEVEN COUCH, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 582 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

582
Total Claims
$33K
Total Drug Cost
324
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
596
Total Day Supply
7,940
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$26K
Generic Drug Cost
$7K
Opioid Claims
16 (2.7% rate)
Antibiotic Claims
19

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.24
Gender Split
67% female / 33% male
Age Distribution
<65: 22, 65-74: 146, 75-84: 117, 85+: 39

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Erythromycin
Erythromycin Base
390
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
40
Prednisone
12
Methylphenidate Hcl
11
Ondansetron Odt
Ondansetron
11
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How STEVEN COUCH, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

STEVEN COUCH, MD's 582 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as COUCH.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEVEN COUCH, MD's specialty?
STEVEN COUCH, MD specializes in Ophthalmology Physician and practices in SAINT LOUIS, Missouri. Credentials: MD.
How much does STEVEN COUCH, MD prescribe under Medicare Part D?
In 2023, STEVEN COUCH, MD wrote 582 Medicare Part D claims totaling $33K in drug costs for 324 beneficiaries.
What is STEVEN COUCH, MD's Medicare quality score?
STEVEN COUCH, MD has a CMS MIPS Final Score of 79.292/100 (Quality: 71.46, Cost: 59.5132). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEVEN COUCH, MD located?
STEVEN COUCH, MD is located at 450 N NEW BALLAS RD, SAINT LOUIS, MO, 63141. Phone: (314) 362-3937.
What is STEVEN COUCH, MD's NPI number?
STEVEN COUCH, MD's National Provider Identifier (NPI) is 1578590634, issued on 06/26/2006.
Does STEVEN COUCH, MD prescribe more brand-name or generic drugs?
STEVEN COUCH, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $26K in brand drug costs.
Does STEVEN COUCH, MD prescribe opioids?
Yes, STEVEN COUCH, MD had 16 opioid claims in 2023 with an opioid prescribing rate of 2.7%.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does STEVEN COUCH, MD prescribe most often?
Based on 2023 Medicare Part D data, STEVEN COUCH, MD's most frequently prescribed drugs include Erythromycin, Neomycin-Polymyxin-Dexameth, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEVEN COUCH, MD accept Medicare?
STEVEN COUCH, MD appears in CMS Medicare data with 582 Part D claims and 324 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEVEN COUCH, MD's credentials?
STEVEN COUCH, MD's NPI is 1578590634 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology