BRIAN ANTHONY FISSEL M.D.
NPI 1053515726
Orthopaedic Surgery in Saint Louis, MO

Q: What is Brian Fissel's NPI number?

The NPI number for Brian Fissel is 1053515726. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Q: What is Brian Fissel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Fissel was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment

79.79/100

CMS Quality Rating

12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128(314) 849-0311(314) 849-4423 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2019, Jan 10, 2019 (2 updates tracked since 2019).

On this page

About Brian Anthony Fissel M.d. NPPES

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

BRIAN ANTHONY FISSEL M.D. (NPI 1053515726) is an individual orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (2009012784) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Medical College Of Ohio (2002).

NPPES Registry Identity

NPI1053515726

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameBRIAN ANTHONY FISSELCredential: M.D.

Location Address12639 OLD TESSON RD, SUITE 115Saint Louis, MO 63128-2786

Mailing Address12639 Old Tesson Rd, Suite 115Saint Louis, MO 63128-2786 · (314) 849-0311 · Fax (314) 849-4423

Phone(314) 849-0311

Fax(314) 849-4423

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 2002

Enumeration DateJune 14, 2007

Last NPPES UpdateJuly 17, 20192 updates tracked since enumeration

✔ NPI 1053515726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MO · 2009012784

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 2009012784 (MO)

12639 OLD TESSON RD, Saint Louis, MO 63128

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Other Identifiers 1

Medicaid1053515726MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Anthony Fissel M.d. 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 ID7416025804

PECOS Enrollment IDI20090723000739

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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Fissel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Medical Group, Inc

Same address

Orthopaedic Surgery

12639 OLD TESSON RD, SUITE 115
Saint Louis, MO 63128

Reassigned Medicare billing, Missouri enrollment
41 clinicians in this Medicare group

NPI 1871542761 (314) 849-0311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

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.

84 services64 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

81 services79 patients

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.

68 services22 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

48 services36 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

48 services35 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

39 services39 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

38 services38 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

29 services28 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

27 services24 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

21 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

18 services18 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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 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

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.

79.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

75.52

Promoting Interoperability

100

Improvement Activities

Cost

48.52

Reported Quality Measures

Advance Care Plan

100%262 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

99%635 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

96%251 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

96%471 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 96% · 442 patients

Patients screened: 96% · 442 patients

94%50 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

86%147 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 268 patients

Patients totalRate: 1% · 268 patients

1%268 patients4/55-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.

Other Providers at the Same Location NPPES 20

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

MRS. LOUISE M HILDEBOLT PA-C

Physician Assistant

12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128

St. Louis County (314) 849-0311

NATHANAEL OLSON

Orthopaedic Surgery (Hand Surgery)

12639 OLD TESSON RD
SAINT LOUIS, MO 63128

St. Louis County (314) 849-0311

MRS. THERESA A BOXDORFER FNP

Nurse Practitioner (Family)

12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128

St. Louis County (314) 849-0311

DR. DENNIS A DUSEK M.D.

Orthopaedic Surgery

12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128

St. Louis County (314) 849-0311

OLD TESSON SURGERY CENTER, L.P.

Clinic/Center (Ambulatory Surgical)

12639 OLD TESSON RD, STE 130
SAINT LOUIS, MO 63128

St. Louis County (314) 729-0785

MEDICAL IMPLANT SLOUTIONS, LLC

Durable Medical Equipment & Medical Supplies

12639 OLD TESSON RD, 116
SAINT LOUIS, MO 63128

St. Louis County (303) 840-2388

MRS. MOLLY KAY CRAWFORD OT

Occupational Therapist

12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128

St. Louis County (314) 842-3968

SIGNATURE HEALTHCARE FOUNDATION

Durable Medical Equipment & Medical Supplies

12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128

St. Louis County (314) 842-3968

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 Brian Fissel's NPI number?

The NPI number for Brian Fissel is 1053515726. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Brian Fissel located?

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

What is Brian Fissel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Brian Fissel enrolled in Medicare?

Yes. Brian Fissel 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.

Which organization bills Medicare for Brian Fissel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Fissel reassigns Medicare benefits to Signature Medical Group, Inc (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Fissel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Fissel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Brian Fissel 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 Brian Fissel affiliated with any hospitals?

According to CMS data, Brian Fissel is affiliated with Mercy Hospital St Louis and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Brian Fissel was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.