St Peters Ambulatory Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1780764829

St Peters Ambulatory Surgery Center is a healthcare provider. based in Saint peters, Missouri. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 197-0 (MO). The NPI Number for St Peters Ambulatory Surgery Center is 1780764829

Main info

Organization
Name
St Peters Ambulatory Surgery Center
NPI
1780764829
Phone
(636) 928-1670
Address
5200 Executive Centre Pkwy Ste 100
Authorized Official
JENNIFER BOYD BALDOCK OFFICER AND AUTHORIZED OFFICIAL
Enumeration Date
16 October 2006
Last Update Date
4 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for St Peters Ambulatory Surgery Center

  • 5200 Executive Centre Pkwy Ste 100

    Saint Peters, MO 633763394

    Phone: (636) 928-1670

    Fax: (636) 489-0654

    Type: Location

  • 114, Piper Hill Drive, Saint Peters, Saint Charles County, Missouri, 63376, United States

    SUITE 101

    SAINT PETERS, MO 633761661

    Phone: (636) 928-1670

    Fax: (636) 928-3792

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070226000273OAmbulatory Surgical CenterMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee8076$0
27130Replacement of thigh bone and hip joint with prosthesis5854$0
26055Incision of tendon covering of finger4230$0
29827Repair of shoulder rotator cuff using an endoscope3737$0
64721Release and/or relocation of hand nerve3432$0
View full utilization report →

Insurance plans in this area (ZIP 63376)

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Reviews

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Frequently asked questions

How do I look up St Peters Ambulatory Surgery Center by NPI?
Use NPI 1780764829 when you need to reference St Peters Ambulatory Surgery Center in forms, claims, or directories.
Is St Peters Ambulatory Surgery Center currently active in the NPI registry?
CMS-published data lists St Peters Ambulatory Surgery Center as an active registrant.
What does St Peters Ambulatory Surgery Center treat or focus on?
Patients typically see St Peters Ambulatory Surgery Center under the specialty Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Where does public data place St Peters Ambulatory Surgery Center?
The snapshot lists Saint Peters, Missouri for St Peters Ambulatory Surgery Center; download NPPES for the complete set.
Is St Peters Ambulatory Surgery Center a real provider?
This page reflects official NPPES data for NPI 1780764829. Always confirm identity and privileges with the practice and licensing boards.

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