ST PETERS AMBULATORY SURGERY CENTER
NPI 1780764829
Clinic/Center - Ambulatory Surgical in Saint Peters, MO

Active since October 16, 2006CLIA 26D0960472 · Waiver
114 PIPER HILL DR, SUITE 101, SAINT PETERS, MO 63376(636) 928-1670(636) 928-3792 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St Peters Ambulatory Surgery Center NPPES

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

ST PETERS AMBULATORY SURGERY CENTER (NPI 1780764829) is a healthcare organization registered as an ambulatory surgical in Saint Peters, Missouri and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 10, 2027, maintains a secondary practice location in Saint Peters, and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1780764829
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNOVAMED SURGERY CENTER OF ST PETERS LLC
Location Address114 PIPER HILL DR, SUITE 101Saint Peters, MO 63376-1661
Mailing Address114 Piper Hill Dr, Suite 101Saint Peters, MO 63376-1661 · (636) 928-1670 · Fax (636) 928-3792
Fax(636) 928-3792
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5935
Enumeration DateOctober 16, 2006
Last NPPES UpdateMarch 4, 2022
NPPES CertifiedMarch 4, 2022
NPI 1780764829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MO · 197-0
114 PIPER HILL DR, Saint Peters, MO 63376

Other Names 2

Doing Business AsSt Peters Ambulatory Surgery Center
Doing Business AsSt. Peters Surgery Center

Secondary Practice Location 1

Location 15200 Executive Centre Pkwy Ste 100Saint Peters, MO 63376-3394 · Phone (636) 928-1670 · Fax (636) 489-0654

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anchoring of biceps tendon

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

This service was performed 17 times for 17 patients

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 20 times for 13 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones

This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.

This service was performed 11 times for 11 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 37 times for 26 patients

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg

Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.

This service was performed 7,951 times for 46 patients

Prosthetic repair of shoulder joint, total shoulder

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

This service was performed 19 times for 18 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 35 times for 32 patients

Removal of extensive shoulder joint tissue using an endoscope

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

This service was performed 19 times for 19 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 25 times for 25 patients

Replacement of knee joint on side of knee

A knee joint replacement on one side, also known as unicompartmental knee replacement, is a surgical procedure where damaged parts of the knee joint are replaced with artificial parts. This helps to reduce pain and improve mobility. It's typically done under general anesthesia.

This service was performed 11 times for 11 patients

Replacement of knee joint, both sides of knee

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.

This service was performed 81 times for 78 patients

Replacement of thigh bone and hip joint with prosthesis

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.

This service was performed 19 times for 19 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0960472
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 11, 2025
Certificate Expiration Date
May 10, 2027
Laboratory Director
JOHN W. MCALLISTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Peters Ambulatory Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Anesthesiology (Pain Medicine)
114 PIPER HILL DR, SUITE 103
SAINT PETERS, MO 63376
Anesthesiology (Pain Medicine)
114 PIPER HILL DR, SUITE 103
SAINT PETERS, MO 63376
Clinic/Center (Pain)
114 PIPER HILL DR, SUITE 103
SAINT PETERS, MO 63376
Nurse Practitioner (Family)
114 PIPER HILL DR, SUITE NUMBER 103
SAINT PETERS, MO 63376
Clinic/Center (Ambulatory Surgical)
114 PIPER HILL DR, STE 101
SAINT PETERS, MO 63376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780764829, enumerated as an "organization" on October 16, 2006.

The provider is located at 114 PIPER HILL DR SUITE 101 SAINT PETERS, MO 63376 and the phone number is (636) 928-1670.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and. Please consult your insurance carrier or call the provider to verify.