Active NPI
Nathan M Fisher, D.O.
- Orthopaedic Hand Surgery Physician
- Saint Louis, MO
National Provider Identifier
1003231853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 2020012910
- Practice address
- 12639 Old Tesson Rd Ste 115
Saint Louis, MO 63128-2786 - Phone
- (314) 849-0311
- Fax
- (314) 849-4423
- NPI assigned
- Mar 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2020012910 | MO | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 2020012910 | MO | Primary |
Addresses
Primary practice location
12639 Old Tesson Rd Ste 115
Saint Louis, MO 63128-2786
Mailing address
12639 Old Tesson Rd Ste 115
Saint Louis, MO 63128-2786
Phone (314) 849-0311
Other practice location 1
1011 Bowles Ave Ste 100
Fenton, MO 63026-2387
Phone (314) 849-0311
Other practice location 2
121 Saint Lukes Center Dr
Chesterfield, MO 63017-3518
Phone (314) 849-0311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nathan.fisher@direct.signature.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200529000599 | MO | Practitioner - Orthopedic Surgery | 5294023628 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Kansas City College of Medicine and Surgery, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Signature Medical Group Inc
Practice addresses (Care Compare)
12639 Old Tesson Rd
Suite 115
Saint Louis, MO 63128-2786
Phone 31484903112384
Hospital & facility affiliations
- Mercy Hospital South
- SSM St Clare Health Center
- St Lukes Hospital
- Mercy Hospital St Louis
- Mercy Hospital Jefferson
- SSM Health Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.62 of 100
- Quality
- 83.49
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 13 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles (2 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Medical Group, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Signature Medical Group, Inc | Current | Accepting new patients |
Locations
121 Saint Lukes Center Dr
Ste 302
Chesterfield, MO 63017
Phone (314) 205-6399
1011 Bowles Ave
Ste 100
Fenton, MO 63026
12639 Old Tesson Rd
Ste 115
Saint Louis, MO 63128
Phone (314) 842-8655
12639 Old Tesson Rd
Saint Louis, MO 63128
Phone (314) 446-0291
Networks
- IA HMO
- IA HMO C-SNP
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IL PPO Downstate
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Saint Louis, MO
- NPI 1871542761
MO, Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- Chesterfield, MO
- NPI 1982473153
-
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
- NPI 1649201864
-
- Durable Medical Equipment & Medical Supplies
- Fenton, MO
- NPI 1942431606
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1003231853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12639 OLD TESSON RD STE 115",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282786",
"telephone_number": "314-849-0311",
"fax_number": "314-849-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12639 OLD TESSON RD STE 115",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282786",
"telephone_number": "314-849-0311",
"fax_number": "314-849-4423"
}
],
"practiceLocations": [
{
"address_1": "1011 Bowles Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Fenton",
"state": "MO",
"postal_code": "630262387",
"country_code": "US",
"telephone_number": "314-849-0311",
"fax_number": "314-849-4423",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 Saint Lukes Center Dr",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630173518",
"country_code": "US",
"telephone_number": "314-849-0311",
"fax_number": "314-849-4423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "NATHAN",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-03",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2020012910",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MO",
"license": "2020012910",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nathan.fisher@direct.signature.nextgenshare.com",
"affiliation": "N",
"address_1": "12639 Old Tesson Rd Ste 115",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631282786",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.