DR. COLES E L'HOMMEDIEU M.D.
NPI 1487603320
Orthopaedic Surgery in Saint Louis, MO

Q: What is Coles L'hommedieu's NPI number?

The NPI number for Coles L'hommedieu is 1487603320. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Coles L'hommedieu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Coles L'hommedieu was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment

90/100

CMS Quality Rating

12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128(314) 849-0311(314) 849-4423 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2019, Jan 10, 2019 (2 updates tracked since 2019).

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About Dr. Coles E L'hommedieu M.d. NPPES

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

DR. COLES E L'HOMMEDIEU M.D. (NPI 1487603320) is an individual orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (2004012112) 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 Southern Illinois University School Of Medicine (1999).

NPPES Registry Identity

NPI1487603320

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. COLES E L'HOMMEDIEUCredential: M.D.

Location Address12639 OLD TESSON RD, SUITE 115Saint Louis, MO 63128-2786

Mailing Address12639 Old Tesson Rd, Suite 115Saint Louis, MO 63128-2786 · (314) 849-0311 · Fax (314) 849-4423

Phone(314) 849-0311

Fax(314) 849-4423

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1999

Enumeration DateMay 9, 2006

Last NPPES UpdateJuly 17, 20192 updates tracked since enumeration

✔ NPI 1487603320 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 · 2004012112

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

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Other Identifiers 7

Medicaid2026180002MO

Other191095MO · Blue Cross Blue Shield

Other220386MO · Group Health Plan

Other7248595MO · Aetna

Other668930MO · Healthlink

OtherP00143831MO · Railroad Medicare

Other0901680MO · United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Coles E L'hommedieu 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 ID6709851603

PECOS Enrollment IDI20040901001109, I20060103000085

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 15

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.

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.

272 services237 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

252 services186 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.

192 services131 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.

180 services162 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.

150 services114 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

131 services127 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

108 services108 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

102 services98 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

41 services38 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

37 services37 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

29 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services17 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

16 services14 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260081

Location1015 BowlesFenton, MO 63026 · Jefferson County

Emergency services Birthing friendly

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.

90/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

71.96

Promoting Interoperability

100

Improvement Activities

Cost

94.71

Reported Quality Measures

Advance Care Plan

98%1,425 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

99%3,007 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

86%1,374 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

97%2,299 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 87% · 1,589 patients

Patients screened: 88% · 1,589 patients

92%63 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

93%823 patients4/55-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.

0.03%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,457 patients

Patients totalRate: 1% · 1,457 patients

1%1,457 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

3 suppliers16 claims16 services$48.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. LOUISE M HILDEBOLT PA-C

Physician Assistant

12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128

St. Louis County (314) 849-0311

NATHANAEL OLSON

Orthopaedic Surgery (Hand Surgery)

12639 OLD TESSON RD
SAINT LOUIS, MO 63128

St. Louis County (314) 849-0311

BRIAN ANTHONY FISSEL M.D.

Orthopaedic Surgery

12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128

St. Louis County (314) 849-0311

MRS. THERESA A BOXDORFER FNP

Nurse Practitioner (Family)

12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128

St. Louis County (314) 849-0311

DR. DENNIS A DUSEK M.D.

Orthopaedic Surgery

12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128

St. Louis County (314) 849-0311

OLD TESSON SURGERY CENTER, L.P.

Clinic/Center (Ambulatory Surgical)

12639 OLD TESSON RD, STE 130
SAINT LOUIS, MO 63128

St. Louis County (314) 729-0785

MEDICAL IMPLANT SLOUTIONS, LLC

Durable Medical Equipment & Medical Supplies

12639 OLD TESSON RD, 116
SAINT LOUIS, MO 63128

St. Louis County (303) 840-2388

MRS. MOLLY KAY CRAWFORD OT

Occupational Therapist

12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128

St. Louis County (314) 842-3968

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 Coles L'hommedieu's NPI number?

The NPI number for Coles L'hommedieu is 1487603320. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Coles L'hommedieu located?

Coles L'hommedieu practices at 12639 Old Tesson Rd Suite 115, Saint Louis, MO 63128. The listed phone number is (314) 849-0311.

What is Coles L'hommedieu's specialty?

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

Is Coles L'hommedieu enrolled in Medicare?

Yes. Coles L'hommedieu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Coles L'hommedieu accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Coles L'hommedieu 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.

Is Coles L'hommedieu affiliated with any hospitals?

According to CMS data, Coles L'hommedieu is affiliated with Mercy Hospital St Louis, Mercy Hospital Jefferson, Mercy Hospital South, Ssm St Clare Health Center and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Coles L'hommedieu was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.