RENAISSANCE PLASTIC SURGERY ASSOC INC
NPI 1386675874
Plastic Surgery in St Peters, MO

Active since July 05, 2006
145 ST PETERS CENTRE BLVD, ST PETERS, MO 63376(636) 896-0600(636) 723-2000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Renaissance Plastic Surgery Assoc Inc NPPES

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

RENAISSANCE PLASTIC SURGERY ASSOC INC (NPI 1386675874) is a healthcare organization registered as a plastic surgery in St Peters, Missouri and active in the NPI registry since July 2006. The organization lists Mark T Boschert, Physician, as its authorized official.

NPPES Registry Identity

NPI1386675874
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameRENAISSANCE PLASTIC SURGERY ASSOC INC
Location Address145 ST PETERS CENTRE BLVDSt Peters, MO 63376-5103
Mailing Address145 St Peters Centre BlvdSt Peters, MO 63376-5103 · (636) 896-0600 · Fax (636) 723-2000
Fax(636) 723-2000
Organization SubpartNo
Authorized OfficialMark T BoschertPhysician · (636) 896-0600
Enumeration DateJuly 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386675874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
145 ST PETERS CENTRE BLVD, St Peters, MO 63376

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)

Renaissance Plastic Surgery Assoc Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Renaissance Plastic Surgery Assoc Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Plastic and Reconstructive Surgery
NPI 1093135808
145 SAINT PETERS CENTRE BLVD
Saint Peters, MO 63376
(636) 896-0600
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1689103053
145 SAINT PETERS CENTRE BLVD
Saint Peters, MO 63376
(636) 896-0600
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1558389866
145 SAINT PETERS CENTRE BLVD
Saint Peters, MO 63376
(636) 896-0600
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1336167642
145 SAINT PETERS CENTRE BLVD
Saint Peters, MO 63376
(636) 896-0600
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1760400089
145 SAINT PETERS CENTRE BLVD
Saint Peters, MO 63376
(636) 896-0600
✔ PECOS✔ Accepts MedicareSame address

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 Renaissance Plastic Surgery Assoc Inc's NPI number?

The NPI number for Renaissance Plastic Surgery Assoc Inc is 1386675874. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Renaissance Plastic Surgery Assoc Inc located?

Renaissance Plastic Surgery Assoc Inc is located at 145 St Peters Centre Blvd, St Peters, MO 63376. The listed phone number is (636) 896-0600.

What is Renaissance Plastic Surgery Assoc Inc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Renaissance Plastic Surgery Assoc Inc enrolled in Medicare?

Yes. Renaissance Plastic Surgery Assoc Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renaissance Plastic Surgery Assoc Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Renaissance Plastic Surgery Assoc 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. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Renaissance Plastic Surgery Assoc Inc accept?

Health plans from Medica list Renaissance Plastic Surgery Assoc 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 Renaissance Plastic Surgery Assoc Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.