SSM ST CLARE SURGICAL CENTER
NPI 1033351119
Clinic/Center - Ambulatory Surgical in Fenton, MO

Active since April 03, 2009CLIA 26D1104197 · Waiver
1055 BOWLES AVE, STE 100, FENTON, MO 63026(636) 203-9700(636) 203-9779 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2020, Jun 20, 2018 (2 updates tracked since 2018).

About Ssm St Clare Surgical Center NPPES

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

SSM ST CLARE SURGICAL CENTER (NPI 1033351119) is a healthcare organization registered as an ambulatory surgical in Fenton, Missouri and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Robert E Mccarville, Administrator, as its authorized official.

NPPES Registry Identity

NPI1033351119
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSSM ST CLARE SURGICAL CENTER LLC
Location Address1055 BOWLES AVE, STE 100Fenton, MO 63026-2308
Mailing Address1055 Bowles Ave, Ste 100Fenton, MO 63026-2308 · (636) 203-9700 · Fax (636) 203-9779
Fax(636) 203-9779
Organization SubpartNo
Authorized OfficialRobert E MccarvilleAdministrator · (417) 889-2040
Enumeration DateApril 3, 2009
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
NPI 1033351119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MO · 229-0
1055 BOWLES AVE, Fenton, MO 63026

Other Names 1

Other NameSsm St Clare Surgical Center

Other Identifiers 2

Medicaid1033351119MO
OtherP00846977MO · Railroad Medicare

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1104197

Ssm St Clare Surgical Center, LLC · Fenton, MO
Active · expires Aug 26, 2027
CLIA Number26D1104197
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorJoshua Ferguson
Laboratory Phone(636) 203-9700
Laboratory LocationSsm St Clare Surgical Center, LLC1055 Bowles Ave, Ste 100, Fenton, MO 63026
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

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, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
2,537 services20 patients
Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg Q9968
This procedure involves an injection of a non-radioactive, non-contrast substance like methylene blue or isosulfan blue. It's used to enhance visualization during certain medical procedures, improving accuracy and safety.
140 services14 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
52 services40 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
45 services45 patients
Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser 67040
This procedure involves using a laser to eliminate the fluid (vitreous) between your lens and retina, along with the entire retina. It's a method often used to treat various eye conditions and improve eye health.
42 services34 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
42 services42 patients

Other Providers at the Same Location NPPES 3

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

Nurse Anesthetist, Certified Registered
1055 BOWLES AVE
FENTON, MO 63026
Clinic/Center (Pain)
1055 BOWLES AVE, SUITE 200
FENTON, MO 63026
Physician Assistant
1055 BOWLES AVE
FENTON, MO 63026

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 Ssm St Clare Surgical Center LLC's NPI number?

The NPI number for Ssm St Clare Surgical Center LLC is 1033351119. It was assigned to this organization in the NPPES registry on April 3, 2009. The provider is also known as Ssm St Clare Surgical Center.

Where is Ssm St Clare Surgical Center LLC located?

Ssm St Clare Surgical Center LLC is located at 1055 Bowles Ave Ste 100, Fenton, MO 63026. The listed phone number is (636) 203-9700.

What is Ssm St Clare Surgical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Ssm St Clare Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1104197) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ssm St Clare Surgical Center LLC 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 Ssm St Clare Surgical Center LLC 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.

When was this NPI record last updated?

The NPPES record for Ssm St Clare Surgical Center LLC was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.