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OLD TESSON SURGERY CENTER
NPI 1104082692
Clinic/Center - Ambulatory Surgical in Saint Louis, MO

Active since August 04, 2008CLIA 26D0985652 · Waiver
12639 OLD TESSON RD, STE 130, SAINT LOUIS, MO 63128(314) 729-0785(314) 667-3629 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Old Tesson Surgery Center NPPES

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

OLD TESSON SURGERY CENTER (NPI 1104082692) is a healthcare organization registered as an ambulatory surgical in Saint Louis, Missouri and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Christopher Hartshorn, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104082692
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameOLD TESSON SURGERY CENTER, L.P.
Location Address12639 OLD TESSON RD, STE 130Saint Louis, MO 63128-2786
Mailing Address12639 Old Tesson Rd, Ste 130Saint Louis, MO 63128-2786 · (314) 729-0785 · Fax (314) 667-3629
Phone(314) 729-0785
Fax(314) 667-3629
Organization SubpartNo
Authorized OfficialChristopher HartshornOfficer/authorized Official · (314) 800-2017
Enumeration DateAugust 4, 2008
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1104082692 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 · 129-4
12639 OLD TESSON RD, Saint Louis, MO 63128
Open in Google Maps ↗

Other Names 1

Doing Business AsOld Tesson Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 26D0985652

Old Tesson Surgery Center, LP · Saint Louis, MO
Active · expires Apr 24, 2027
CLIA Number26D0985652
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorRobert Medler
Laboratory Phone(314) 748-4225
Laboratory LocationOld Tesson Surgery Center, LP12639 Old Tesson Suite 130, Saint Louis, MO 63128
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.
2,528 services11 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.
67 services64 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
65 services48 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
54 services43 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
27 services27 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
14 services14 patients

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
BRIAN ANTHONY FISSEL M.D.
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
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
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
MS. CHRISTINA L BRUNING PA-C
Physician Assistant
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311

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 Old Tesson Surgery Center, L.P.'s NPI number?

The NPI number for Old Tesson Surgery Center, L.P. is 1104082692. It was assigned to this organization in the NPPES registry on August 4, 2008. The provider is doing business as Old Tesson Surgery Center.

Where is Old Tesson Surgery Center, L.P. located?

Old Tesson Surgery Center, L.P. is located at 12639 Old Tesson Rd Ste 130, Saint Louis, MO 63128. The listed phone number is (314) 729-0785.

What is Old Tesson Surgery Center, L.P.'s specialty?

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

Does Old Tesson Surgery Center, L.P. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0985652) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Old Tesson Surgery Center, L.P. 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 5 other insurers list Old Tesson Surgery Center, L.P. 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 Old Tesson Surgery Center, L.P. was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.