NICHOLAS KOH BAUGNON (MD) – Ophthalmology Physician, NPI 1972180982

NICHOLAS KOH BAUGNON (MD) is a healthcare provider. based in Eugene, Oregon. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD223916 (OR). The NPI Number for NICHOLAS KOH BAUGNON (MD) is 1972180982

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
NICHOLAS KOH BAUGNON (MD)
NPI
1972180982
Phone
(541) 687-2110
Address
330 S GARDEN WAY STE 150
Enumeration Date
25 March 2021
Last Update Date
27 August 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5416872110
Graduation Year
2025 (1 year ago)
PAC ID
7012312960
Group Practice PAC ID
8628061215
Professional Enrollment ID
I20250717001708
Address ID
OR974018182EU330XXWAYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

343 OPHTHALMOLOGY in OR

Provider Addresses for NICHOLAS KOH BAUGNON (MD)

  • 330 S GARDEN WAY STE 150

    EUGENE, OR 974018182

    Phone: (541) 687-2110

    Type: Mailing

  • 1008 S SPRING AVE

    SAINT LOUIS, MO 631102520

    Phone: (314) 977-2605

    Type: Mailing

  • 330 S Garden Way Ste 120

    Eugene, OR 974018180

    Phone: (541) 687-2110

    Fax: (541) 484-3883

    Type: Location

  • 1201 S GRAND BLVD

    SAINT LOUIS, MO 631041016

    Phone: (314) 257-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $925.

Total Amount is formed as General ($925) + Research ($0) + Ownership ($0) = $925.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($450).

Total Amount

$925

General + Research + Ownership

Payments

8

Total payment records

General Amount

$925

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250717001708IOphthalmologyORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628061215View full group profile
NameSpecialtyState
O P T O M E T R YOR
-OR
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YOR

Reviews

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Frequently asked questions

How do I look up NICHOLAS KOH BAUGNON (MD) by NPI?
Use NPI 1972180982 when you need to reference NICHOLAS KOH BAUGNON (MD) in forms, claims, or directories.
Is NICHOLAS KOH BAUGNON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NICHOLAS KOH BAUGNON (MD) work in?
You can think of NICHOLAS KOH BAUGNON (MD) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place NICHOLAS KOH BAUGNON (MD)?
The snapshot lists Eugene, Oregon for NICHOLAS KOH BAUGNON (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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