ORTHO MISSOURI, LLC
NPI 1447941067
Orthopaedic Surgery in Creve Coeur, MO

Active since May 16, 2023CLIA 26D2296612 · Waiver
11330 OLIVE BLVD STE 150, CREVE COEUR, MO 63141(314) 288-9826 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ortho Missouri, Llc NPPES

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

ORTHO MISSOURI, LLC (NPI 1447941067), doing business as Orthomo, Llc, is a healthcare organization registered as an orthopaedic surgery in Creve Coeur, Missouri and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Beverly Baker, Market President, as its authorized official.

NPPES Registry Identity

NPI1447941067
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameORTHO MISSOURI, LLC
Location Address11330 OLIVE BLVD STE 150Creve Coeur, MO 63141-7149
Mailing Address11330 Olive Blvd Ste 150Creve Coeur, MO 63141-7149 · (314) 288-9826
Organization SubpartNo
Authorized OfficialBeverly BakerMarket President · (314) 288-9826
Enumeration DateMay 16, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1447941067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
11330 OLIVE BLVD STE 150, Creve Coeur, MO 63141

Other Names 1

Doing Business AsOrthomo, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Ortho Missouri, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Ortho Missouri, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Orthopedic Surgery
NPI 1972032753
11330 OLIVE BLVD STE 150
Creve Coeur, MO 63141
(314) 782-1994
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1134319510
12855 NORTH FORTY DRIVE SUITE 125, NORTH TOWER
St. Louis, MO 63141
(314) 966-0111
✔ PECOS✔ Accepts Medicare3.1 mi
Orthopedic Surgery
NPI 1477555662
14825 N OUTER 40 RD STE 200
Chesterfield, MO 63017
(314) 336-2555
✔ PECOS✔ Accepts Medicare6.3 mi
Orthopedic Surgery
NPI 1437109550
14825 N OUTER 40 RD STE 200
Chesterfield, MO 63017
(314) 336-2555
✔ PECOS✔ Accepts Medicare6.3 mi
Family Practice
NPI 1891812814
6726 MANCHESTER AVE
Saint Louis, MO 63139
(615) 778-4066
✔ PECOS✔ Accepts Medicare7.8 mi
Nurse Practitioner
NPI 1497200927
3004 GORDONVILLE RD
Cape Girardeau, MO 63703
(573) 332-1972
✔ PECOS✔ Accepts Medicare105 mi
Family Practice
NPI 1124432430
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
Fort Liberty, NC 28310
(910) 907-8922
✔ PECOS675 mi

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

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 26D2296612

Ortho Missouri, LLC · Creve Coeur, MO
Active · expires Jan 2, 2028
CLIA Number26D2296612
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorPaul Malak
Laboratory Phone(314) 782-1994
Laboratory LocationOrtho Missouri, LLC11330 Olive Blvd Suite 150, Creve Coeur, MO 63141
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ortho Missouri, LLC's NPI number?

The NPI number for Ortho Missouri, LLC is 1447941067. It was assigned to this organization in the NPPES registry on May 16, 2023. The provider is doing business as OrthoMO, LLC.

Where is Ortho Missouri, LLC located?

Ortho Missouri, LLC is located at 11330 Olive Blvd Ste 150, Creve Coeur, MO 63141. The listed phone number is (314) 288-9826.

What is Ortho Missouri, LLC's specialty?

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

Is Ortho Missouri, LLC enrolled in Medicare?

Yes. Ortho Missouri, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ortho Missouri, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Ortho Missouri, 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. The largest specialties are Orthopedic Surgery (4), Family Practice (2) and Nurse Practitioner (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ortho Missouri, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2296612) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ortho Missouri, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Ortho Missouri, 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 Ortho Missouri, LLC was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.