ORAL FACIAL SURGERY INSTITUTE
NPI 1366039075
Oral & Maxillofacial Surgery in Saint Louis, MO

Active since December 29, 2020
621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 63141(314) 251-6725 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2024, Dec 29, 2020 (2 updates tracked since 2020).

About Oral Facial Surgery Institute NPPES

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

ORAL FACIAL SURGERY INSTITUTE (NPI 1366039075) is a healthcare organization registered as an oral & maxillofacial surgery in Saint Louis, Missouri and active in the NPI registry since December 2020. The organization maintains 3 additional practice locations and lists Lacy Wilson, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1366039075
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameVISION SURGICAL ARTS, LLC
Location Address621 S NEW BALLAS RD STE 16ASaint Louis, MO 63141-8239
Mailing Address621 S New Ballas Rd Ste 16aSaint Louis, MO 63141-8239 · (314) 251-6725 · Fax (314) 251-6726
Organization SubpartNo
Authorized OfficialLacy WilsonBusiness Manager · (314) 251-6725
Enumeration DateDecember 29, 2020
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1366039075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
621 S NEW BALLAS RD STE 16A, Saint Louis, MO 63141

Other Names 1

Doing Business AsOral Facial Surgery Institute

Secondary Practice Locations 3

Location 160 E North StEureka, MO 63025-1205 · Phone (636) 938-6725 · Fax (636) 938-6721
Location 22997 Clarkson Rd Ste 120Chesterfield, MO 63017-7321 · Phone (636) 400-6725 · Fax (636) 400-6726
Location 32747 W Clay St Ste BSaint Charles, MO 63301-2557 · Phone (636) 594-6725

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 SINGLE SPECIALTY GROUP

Accepted 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)

Oral Facial Surgery Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Oral Facial Surgery Institute, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (11)

Maxillofacial Surgery
NPI 1164866125
621 S NEW BALLAS RD STE 16A
Saint Louis, MO 63141
(314) 251-6725
✔ PECOS✔ Accepts MedicareSame address
Maxillofacial Surgery
NPI 1114361201
621 S NEW BALLAS RD STE 16A
Saint Louis, MO 63141
(314) 251-6725
✔ PECOS✔ Accepts MedicareSame address
Maxillofacial Surgery
NPI 1316937634
11710 OLD BALLAS RD STE 208
Saint Louis, MO 63141
(314) 866-6725
✔ PECOS0.1 mi
Maxillofacial Surgery
NPI 1487854378
621 S NEW BALLAS RD STE 16A
Saint Louis, MO 63141
(314) 251-6725
✔ PECOS✔ Accepts Medicare1.5 mi
Maxillofacial Surgery
NPI 1275731895
2747 W CLAY ST STE B
Saint Charles, MO 63301
(636) 594-6725
✔ PECOS✔ Accepts Medicare9.2 mi
Maxillofacial Surgery
NPI 1942793476
3302 GASTON AVE
Dallas, TX 75246
(214) 828-8445
✔ PECOS✔ Accepts Medicare539 mi
Maxillofacial Surgery
NPI 1184603136
1120 15TH ST
Augusta, GA 30912
(706) 721-8623
✔ PECOS✔ Accepts Medicare593 mi
Maxillofacial Surgery
NPI 1770962953
405 FREDERICK RD STE 9
Catonsville, MD 21228
(410) 744-4484
✔ PECOS739 mi
Maxillofacial Surgery
NPI 1902430903
4 CROMWELL PL
White Plains, NY 10601
(914) 761-4567
✔ PECOS✔ Accepts Medicare900 mi
Maxillofacial Surgery
NPI 1841797545
8940 N KENDALL DR STE 604E
Miami, FL 33176
(305) 595-1905
✔ PECOS1,071 mi
Maxillofacial Surgery
NPI 1447799937
27 NELSON PEREA, DOCTOR'S CENTER SUITE 206
Mayaguez, PR 00680
(917) 808-6093
✔ PECOS

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 Vision Surgical Arts, LLC's NPI number?

The NPI number for Vision Surgical Arts, LLC is 1366039075. It was assigned to this organization in the NPPES registry on December 29, 2020. The provider is doing business as Oral Facial Surgery Institute.

Where is Vision Surgical Arts, LLC located?

Vision Surgical Arts, LLC is located at 621 S New Ballas Rd Ste 16A, Saint Louis, MO 63141. The listed phone number is (314) 251-6725.

What is Vision Surgical Arts, LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Vision Surgical Arts, LLC enrolled in Medicare?

Yes. Vision Surgical Arts, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vision Surgical Arts, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to Vision Surgical Arts, LLC. 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. Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vision Surgical Arts, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Vision Surgical Arts, 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 Vision Surgical Arts, LLC was last updated on March 4, 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.