NATHAN M FISHER D.O.
NPI 1003231853
Orthopaedic Surgery - Hand Surgery in Saint Louis, MO

Active since March 03, 2014PECOS EnrolledAccepts Medicare Assignment
87.1/100
CMS Quality Rating
12639 OLD TESSON RD STE 115, SAINT LOUIS, MO 63128(314) 849-0311(314) 849-4423 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Dec 22, 2021, May 27, 2020 and 2 more (5 updates tracked since 2019).

About Nathan M Fisher D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN M FISHER D.O. (NPI 1003231853) is an individual hand surgery provider in Saint Louis, Missouri, licensed in Missouri (2020012910) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003231853
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameNATHAN M FISHERCredential: D.O.
Location Address12639 OLD TESSON RD STE 115Saint Louis, MO 63128-2786
Mailing Address12639 Old Tesson Rd Ste 115Saint Louis, MO 63128-2786 · (314) 849-0311 · Fax (314) 849-4423
Fax(314) 849-4423
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2014
Enumeration DateMarch 3, 2014
Last NPPES UpdateAugust 19, 20255 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
NPI 1003231853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in MO · 2020012910
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2020012910 (MO)
12639 OLD TESSON RD STE 115, Saint Louis, MO 63128

Secondary Practice Locations 2

Location 1121 Saint Lukes Center DrChesterfield, MO 63017-3518 · Phone (314) 849-0311 · Fax (314) 849-4423
Location 21011 Bowles Ave Ste 100Fenton, MO 63026-2387 · Phone (314) 849-0311 · Fax (314) 849-4423

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nathan M Fisher D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294023628
PECOS Enrollment IDI20200529000599
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
406 services135 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
261 services179 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
112 services112 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
69 services51 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
60 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services53 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.1
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%997 patients5/55-star benchmark: 100%
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
90%179 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,173 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
93%960 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,620 patients
Patients screened: 100% · 1,620 patients
95%160 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
75%782 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,015 patients
Patients totalRate: 0% · 1,015 patients
0%1,015 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers54 claims57 services$44.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
12639 OLD TESSON RD STE 115
SAINT LOUIS, MO 63128
Podiatrist (Foot & Ankle Surgery)
12639 OLD TESSON RD STE 115
SAINT LOUIS, MO 63128
Physician Assistant
12639 OLD TESSON RD STE 115
SAINT LOUIS, MO 63128
Nurse Practitioner (Gerontology)
12639 OLD TESSON RD STE 115
SAINT LOUIS, MO 63128
Physician Assistant
12639 OLD TESSON RD STE 115
SAINT LOUIS, MO 63128
Orthopaedic Surgery
12639 OLD TESSON RD STE 115
SAINT LOUIS, MO 63128
Orthopaedic Surgery
12639 OLD TESSON RD STE 115
SAINT LOUIS, MO 63128
Physician Assistant
12639 OLD TESSON RD STE 115
SAINT LOUIS, MO 63128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Fisher's NPI number?

The NPI number for Nathan Fisher is 1003231853. It was assigned to this individual provider in the NPPES registry on March 3, 2014.

Where is Nathan Fisher located?

Nathan Fisher practices at 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128. The listed phone number is (314) 849-0311.

What is Nathan Fisher's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Nathan Fisher enrolled in Medicare?

Yes. Nathan Fisher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nathan Fisher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Nathan Fisher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathan Fisher affiliated with any hospitals?

According to CMS data, Nathan Fisher is affiliated with Mercy Hospital St Louis, Mercy Hospital Jefferson, Mercy Hospital South and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Fisher was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.