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ST PETERS BONE & JOINT SURGERY INC.
NPI 1225182157
Orthopaedic Surgery in Saint Peters, MO

Active since January 22, 2007
5200 EXECUTIVE CENTRE PKWY STE 300, SAINT PETERS, MO 63376(636) 441-3444(636) 441-9832 Get Directions Write a Review

NPPES record last updated: March 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2025, Mar 7, 2025 (2 updates tracked since 2025).

About St Peters Bone & Joint Surgery Inc. NPPES

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

ST PETERS BONE & JOINT SURGERY INC. (NPI 1225182157), doing business as Advanced Bone & Joint, is a healthcare organization registered as an orthopaedic surgery in Saint Peters, Missouri and active in the NPI registry since January 2007. The organization lists Jim Kidd, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225182157
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameST PETERS BONE & JOINT SURGERY INC.
Location Address5200 EXECUTIVE CENTRE PKWY STE 300Saint Peters, MO 63376-3809
Mailing AddressPo Box 430Saint Peters, MO 63376-0008 · (636) 441-3444 · Fax (636) 441-9832
Phone(636) 441-3444
Fax(636) 441-9832
Organization SubpartNo
Authorized OfficialJim KiddCeo · (636) 441-3444
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 16, 20252 updates tracked since enumeration
NPPES CertifiedMarch 16, 2025
✔ NPI 1225182157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
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 Surgery of the SpineTaxonomy 207XS0117X
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
5200 EXECUTIVE CENTRE PKWY STE 300, Saint Peters, MO 63376
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Other Names 1

Doing Business AsAdvanced Bone & Joint

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Peters Bone & Joint Surgery Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to St Peters Bone & Joint Surgery Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner9
Orthopedic Surgery7
Physical Medicine and Rehabilitation2
Podiatry2
Hand Surgery1
Sports Medicine1

Nearest to this location (20)

See all 22
Samantha Bunch, APRN FNP-BC
Nurse Practitioner
NPI 1679247019
5200 EXECUTIVE CENTRE PKWY STE 300
Saint Peters, MO 63376
(636) 229-4222
✔ PECOS✔ Accepts MedicareSame address
Zachary Fallon, M.D.
Physical Medicine and Rehabilitation
NPI 1225491004
5200 EXECUTIVE CENTRE PKWY STE 300
Saint Peters, MO 63376
(636) 441-3444
✔ PECOS✔ Accepts MedicareSame address
William Mclaughlin, MD
Orthopedic Surgery
NPI 1942865647
5200 EXECUTIVE CENTRE PKWY
Saint Peters, MO 63376
(636) 441-3444
✔ PECOS✔ Accepts MedicareSame address
Jennifer Eickhoff, FNP-BC, MSN ATC, LAT
Nurse Practitioner
NPI 1316155591
112 PIPER HILL DR STE 9
Saint Peters, MO 63376
(636) 441-3444
✔ PECOS✔ Accepts Medicare0.2 mi
William Frisella, MD
Orthopedic Surgery
NPI 1851427066
112 PIPER HILL DRIVE SUITE 9
Saint Peters, MO 63376
(636) 441-3444
✔ PECOS✔ Accepts Medicare0.2 mi
Dane Glueck, MD
Orthopedic Surgery
NPI 1811075757
112 PIPER HILL DRIVE SUITE 9
St. Peters, MO 63376
(636) 441-3444
✔ PECOS✔ Accepts Medicare0.2 mi
Brandon Larkin, MD
Sports Medicine
NPI 1508061540
112 PIPER HILL DRIVE SUITE 9
Saint Peters, MO 63376
(636) 441-3444
✔ PECOS✔ Accepts Medicare0.2 mi
John Mcallister, MD
Orthopedic Surgery
NPI 1497857965
112 PIPER HILL DRIVE SUITE 9
St. Peters, MO 63376
(636) 441-3444
✔ PECOS✔ Accepts Medicare0.2 mi
Leslie Simpson, NP
Nurse Practitioner
NPI 1700303757
112 PIPER HILL DR STE 9
Saint Peters, MO 63376
(636) 441-3444
✔ PECOS✔ Accepts Medicare0.2 mi
Paul Spezia, DO
Orthopedic Surgery
NPI 1588776140
112 PIPER HILL DRIVE SUITE 9
St. Peters, MO 63376
(636) 441-3444
✔ PECOS✔ Accepts Medicare0.2 mi
Amanda Poindexter, NP
Nurse Practitioner
NPI 1558791350
107 PIPER HILL DR
Saint Peters, MO 63376
(636) 477-8757
✔ PECOS✔ Accepts Medicare0.3 mi
Jeffrey Boberg, D.P.M.
Podiatry
NPI 1437264595
9323 PHOENIX VILLAGE PKWY
O Fallon, MO 63368
(636) 561-0871
✔ PECOS✔ Accepts Medicare8.7 mi
Anthony Lombardo, DPM
Podiatry
NPI 1346241155
12255 DE PAUL DR SUITE 470
Bridgeton, MO 63044
(314) 739-8863
✔ PECOS✔ Accepts Medicare9.1 mi
Matthew Hammer, FNP-BC
Nurse Practitioner
NPI 1144659632
2022 DORSETT VLG
Maryland Heights, MO 63043
(314) 590-0520
✔ PECOS✔ Accepts Medicare9.2 mi
Adina Lumley Rey, FNP
Nurse Practitioner
NPI 1336558014
100 MEDICAL PLZ
Lake St Louis, MO 63367
(314) 317-0600
✔ PECOS✔ Accepts Medicare10.0 mi
Adrianne Simpson, APRN-CNP
Nurse Practitioner
NPI 1255953907
12680 OLIVE BLVD STE 100
Saint Louis, MO 63141
(314) 251-8900
✔ PECOS✔ Accepts Medicare10 mi
James Williams, MD
Physical Medicine and Rehabilitation
NPI 1043290620
121 SAINT LUKES CENTER DR STE 500
Chesterfield, MO 63017
(314) 390-6789
✔ PECOS✔ Accepts Medicare11 mi
Karly Sheppard, FNP
Nurse Practitioner
NPI 1811799604
14532 S OUTER 40 RD DEPT ORTHOPAEDIC SURGERY, STE 200
Chesterfield, MO 63017
(314) 514-3500
✔ PECOS✔ Accepts Medicare11 mi
Colleen Glisson, M.D.
Hand Surgery
NPI 1811181308
845 N NEW BALLAS CT SUITE 200
Saint Louis, MO 63141
(314) 983-4700
✔ PECOS✔ Accepts Medicare12 mi
Sara Herbert, FNP-BC
Nurse Practitioner
NPI 1912349283
851 E 5TH ST STE 208
Washington, MO 63090
(636) 239-8097
✔ PECOS✔ Accepts Medicare29 mi
See all 22 clinicians

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

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 St Peters Bone & Joint Surgery Inc.'s NPI number?

The NPI number for St Peters Bone & Joint Surgery Inc. is 1225182157. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is doing business as Advanced Bone & Joint.

Where is St Peters Bone & Joint Surgery Inc. located?

St Peters Bone & Joint Surgery Inc. is located at 5200 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376. The listed phone number is (636) 441-3444.

What is St Peters Bone & Joint Surgery Inc.'s specialty?

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

Is St Peters Bone & Joint Surgery Inc. enrolled in Medicare?

Yes. St Peters Bone & Joint Surgery Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Peters Bone & Joint Surgery Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 6 Medicare specialties reassign their Medicare billing to St Peters Bone & Joint Surgery Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (9), Orthopedic Surgery (7) and Physical Medicine and Rehabilitation (2). Of these, 3 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Peters Bone & Joint Surgery Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list St Peters Bone & Joint Surgery Inc. 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 St Peters Bone & Joint Surgery Inc. was last updated on March 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.