SIGNATURE MEDICAL GROUP, INC
NPI 1871542761
Orthopaedic Surgery in Saint Louis, MO

Active since May 08, 2006
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: August 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2024, Aug 1, 2024, May 1, 2024 (3 updates tracked since 2024).

About Signature Medical Group, Inc NPPES

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

SIGNATURE MEDICAL GROUP, INC (NPI 1871542761) is a healthcare organization registered as an orthopaedic surgery in Saint Louis, Missouri and active in the NPI registry since May 2006. The organization lists Chad Sackman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871542761
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSIGNATURE MEDICAL GROUP, INC
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
Fax(314) 849-4423
Organization SubpartNo
Authorized OfficialChad SackmanCeo · (314) 849-0311
Enumeration DateMay 8, 2006
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1871542761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ 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.
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
12639 OLD TESSON RD, Saint Louis, MO 63128

Other Identifiers 5

Medicaid501357701MO
Other377225MO · Healthlink
Other3223MO · Group Health Plan
Other7217344MO · Aetna
OtherCY0091MO · Railroad Medicare

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)

Signature Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to Signature Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Orthopedic Surgery14
Nurse Practitioner12
Physical Therapist in Private Practice6
Physical Medicine and Rehabilitation4
Podiatry2
Allergy/Immunology1
Anesthesiology1
Pediatric Medicine1

Nearest to this location (20)

See all 41
Orthopedic Surgery
NPI 1770012767
12639 OLD TESSON RD
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063566768
12639 OLD TESSON RD SUITE 115
Saint Louis, MO 63128
(314) 849-0311
✔ PECOSSame address
Podiatry
NPI 1518539170
12639 OLD TESSON RD. STE. 115
St. Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1003231853
12639 OLD TESSON RD STE 115
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700524618
12639 OLD TESSON RD STE 115
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1245735638
12639 OLD TESSON RD
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356615538
12639 OLD TESSON RD SUITE
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1649584145
12639 OLD TESSON FERRY RD. SUITE 120
Saint Louis, MO 63128
(314) 849-0311
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1033564760
12639 OLD TESSON RD
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1922362565
12639 OLD TESSON RD STE 115
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225652514
12639 OLD TESSON RD
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710719059
12639 OLD TESSON RD
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1467024646
12639 OLD TESSON RD
Saint Louis, MO 63128
(314) 849-0311
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1952746521
12639 OLD TESSON RD STE 115
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1548867583
12639 OLD TESSON RD STE 120
Saint Louis, MO 63128
(314) 849-0311
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1053087528
12639 OLD TESSON RD STE 120
Saint Louis, MO 63128
(314) 756-2800
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1619318441
12639 OLD TESSON RD
Saint Louis, MO 63128
(143) 849-0311
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1487099313
12639 OLD TESSON RD
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1477668606
12639 OLD TESSON RD STE 115
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1386697985
12639 OLD TESSON RD
Saint Louis, MO 63128
(314) 849-0311
✔ PECOS✔ Accepts MedicareSame address
See all 41 clinicians

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 Signature Medical Group, Inc's NPI number?

The NPI number for Signature Medical Group, Inc is 1871542761. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Signature Medical Group, Inc located?

Signature Medical Group, Inc is located at 12639 Old Tesson Rd Suite 115, Saint Louis, MO 63128. The listed phone number is (314) 849-0311.

What is Signature Medical Group, Inc's specialty?

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

Is Signature Medical Group, Inc enrolled in Medicare?

Yes. Signature Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Signature Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 8 Medicare specialties reassign their Medicare billing to Signature Medical Group, Inc. 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 (14), Nurse Practitioner (12) and Physical Therapist in Private Practice (6). Of these, 24 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Signature Medical Group, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Signature Medical Group, Inc 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 Signature Medical Group, Inc was last updated on August 8, 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.