DR. ROBERT H SIGMUND M.D.
NPI 1447201991
Orthopaedic Surgery in Saint Louis, MO

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
79.24/100
CMS Quality Rating
12639 OLD TESSON RD, SUITE115, SAINT LOUIS, MO 63128(314) 849-0311(314) 849-4423 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2019, Jan 10, 2019 (2 updates tracked since 2019).

About Dr. Robert H Sigmund M.d. NPPES

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

DR. ROBERT H SIGMUND M.D. (NPI 1447201991) is an individual orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (110388) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Saint Louis University School Of Medicine (1996).

NPPES Registry Identity

NPI1447201991
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ROBERT H SIGMUNDCredential: M.D.
Location Address12639 OLD TESSON RD, SUITE115Saint Louis, MO 63128-2786
Mailing Address12639 Old Tesson Rd, Suite115Saint Louis, MO 63128-2786 · (314) 849-0311 · Fax (314) 849-4423
Fax(314) 849-4423
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1996
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 16, 20192 updates tracked since enumeration
NPI 1447201991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MO · 110388
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.

12639 OLD TESSON RD, Saint Louis, MO 63128

Other Identifiers 8

Other200042135MO · Railroad Medicare
Other461320MO · Healthlink
Other7431401002MO · Cigna
Other0900509MO · United Healthcare
Other96955MO · Group Health Plan
Medicaid205446503MO
Other144213MO · Blue Cross Blue Shield
Other7055247MO · Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert H Sigmund M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022024421
PECOS Enrollment IDI20070517000221
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

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, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
802 services153 patients
Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg J7331
Hyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.
360 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
295 services233 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
284 services188 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
211 services177 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
140 services99 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.5
Promoting Interoperability100
Improvement Activities40
Cost66.31

Reported Quality Measures

Advance Care Plan
96%1,126 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
58%43 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
95%2,446 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
88%1,095 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 1,302 patients
Patients screened: 97% · 1,302 patients
88%94 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
80%656 patients3/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.04%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,149 patients
Patients totalRate: 1% · 1,149 patients
1%1,149 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Physician Assistant
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Physician Assistant
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Surgery
12639 OLD TESSON RD
SAINT LOUIS, MO 63128
Occupational Therapist
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
Physical Therapist
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
Registered Nurse
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447201991, enumerated as an "individual" on May 12, 2006.

The provider is located at 12639 OLD TESSON RD SUITE115 SAINT LOUIS, MO 63128 and the phone number is (314) 849-0311.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Robert Sigmund is affiliated with: MERCY HOSPITAL ST LOUIS, MERCY HOSPITAL JEFFERSON, MERCY HOSPITAL SOUTH and ST LUKES HOSPITAL.