PETKOVICH ORTHOPEDIC AND SPINE CARE LLC
NPI 1861680316
Orthopaedic Surgery in Saint Louis, MO

Active since October 10, 2007
2821 N BALLAS RD, SUITE C 70, SAINT LOUIS, MO 63131(314) 432-6500 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Petkovich Orthopedic And Spine Care Llc NPPES

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

PETKOVICH ORTHOPEDIC AND SPINE CARE LLC (NPI 1861680316) is a healthcare organization registered as an orthopaedic surgery in Saint Louis, Missouri and active in the NPI registry since October 2007. The organization lists Frank Ogden Petkovich, Doctor, as its authorized official.

NPPES Registry Identity

NPI1861680316
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NamePETKOVICH ORTHOPEDIC AND SPINE CARE LLC
Location Address2821 N BALLAS RD, SUITE C 70Saint Louis, MO 63131-2321
Mailing Address2821 N Ballas Rd, Suite C 70Saint Louis, MO 63131-2321 · (314) 432-6500
Organization SubpartNo
Authorized OfficialFrank Ogden PetkovichDoctor · (314) 432-6500
Enumeration DateOctober 10, 2007
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1861680316 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 · R5882
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.
2821 N BALLAS RD, Saint Louis, MO 63131

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petkovich Orthopedic And Spine Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Petkovich Orthopedic And Spine Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Orthopedic Surgery
NPI 1609827070
2821 N BALLAS RD SUITE C70
Saint Louis, MO 63131
(314) 432-6500
✔ 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 Petkovich Orthopedic And Spine Care LLC's NPI number?

The NPI number for Petkovich Orthopedic And Spine Care LLC is 1861680316. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is Petkovich Orthopedic And Spine Care LLC located?

Petkovich Orthopedic And Spine Care LLC is located at 2821 N Ballas Rd Suite C 70, Saint Louis, MO 63131. The listed phone number is (314) 432-6500.

What is Petkovich Orthopedic And Spine Care LLC's specialty?

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

Is Petkovich Orthopedic And Spine Care LLC enrolled in Medicare?

Yes. Petkovich Orthopedic And Spine Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petkovich Orthopedic And Spine Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Petkovich Orthopedic And Spine Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Petkovich Orthopedic And Spine Care LLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.