PHYSICIANS AMBULATORY SURGERY CENTER LLC
NPI 1285358481
Clinic/Center - Ambulatory Surgical in Saint Peters, MO

Active since September 30, 2022CLIA 26D2270751 · Waiver
114 PIPER HILL DR STE 101, SAINT PETERS, MO 63376(636) 706-0560(636) 244-1735 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2024, Jun 6, 2023, May 16, 2023 and 1 more (4 updates tracked since 2022).

About Physicians Ambulatory Surgery Center Llc NPPES

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

PHYSICIANS AMBULATORY SURGERY CENTER LLC (NPI 1285358481) is a healthcare organization registered as an ambulatory surgical in Saint Peters, Missouri and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Michael Boedefeld, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1285358481
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePHYSICIANS AMBULATORY SURGERY CENTER LLC
Location Address114 PIPER HILL DR STE 101Saint Peters, MO 63376-1661
Mailing Address114 Piper Hill Dr Ste 101Saint Peters, MO 63376-1661 · (636) 706-0560 · Fax (636) 244-1735
Fax(636) 244-1735
Organization SubpartNo
Authorized OfficialMichael BoedefeldOwner/medical Director · (636) 706-0560
Enumeration DateSeptember 30, 2022
Last NPPES UpdateApril 11, 20244 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
NPI 1285358481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
114 PIPER HILL DR STE 101, Saint Peters, MO 63376

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 26D2270751

Physicians Ambulatory Surgery Center, LLC · St Peters, MO
Active · expires Oct 19, 2026
CLIA Number26D2270751
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorMichael S. Boedefeld
Laboratory Phone(636) 706-0560
Laboratory LocationPhysicians Ambulatory Surgery Center, LLC114 Piper Hill Dr Suite 101, St Peters, MO 63376
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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 of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
152 services105 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
138 services45 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
94 services50 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
77 services36 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
50 services21 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
48 services15 patients

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 Physicians Ambulatory Surgery Center LLC's NPI number?

The NPI number for Physicians Ambulatory Surgery Center LLC is 1285358481. It was assigned to this organization in the NPPES registry on September 30, 2022.

Where is Physicians Ambulatory Surgery Center LLC located?

Physicians Ambulatory Surgery Center LLC is located at 114 Piper Hill Dr Ste 101, Saint Peters, MO 63376. The listed phone number is (636) 706-0560.

What is Physicians Ambulatory Surgery Center LLC's specialty?

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

Does Physicians Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2270751) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Physicians Ambulatory Surgery Center LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Physicians Ambulatory Surgery 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 Physicians Ambulatory Surgery Center LLC was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.