Active NPI 1447201991 Individual Practitioner Male Practitioner

Dr. Robert H Sigmund , MD

Orthopaedic Surgery • Saint Louis, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Sigmund, MD is a certified Orthopaedic Surgery practicing in Saint Louis, MO. With approximately 30 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1996, Dr. Sigmund delivers high-quality medical care to the local community at 12639 OLD TESSON RD.

Dr. Sigmund maintains professional affiliations with Physical Therapy Spine And Sports Medicine Llc, Elite Physical Therapy Of Creve Coeur Llc, Signature Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12639 Old Tesson Rd
Suite115

Saint Louis, MO 631282786

Telephone 3148490311

Fax 3148494423

Associated Practice Facility / Clinic

🏢 Signature Medical Group, Inc Facility NPI 1871542761

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Saint Louis, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +9.9 yrs vs City Avg

City Avg: 20.1 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

172 Specialists

Practicing in Saint Louis, MO (550 Statewide)

Telehealth Adoption Rate

3.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sigmund (30 Years) 30 Yrs

Saint Louis Specialty Average (20.1 Years) 20.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	802	153	$12.00	$6.99
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	360	15	$27.03	$10.38
99213 Established patient office or other outpatient visit, typically 15 minutes	295	233	$111.83	$87.59
73562 X-ray of knee, 3 views	284	188	$154.00	$38.70
20610 Aspiration and/or injection of fluid from large joint	211	177	$360.13	$65.82
73502 X-ray of hip, 2-3 views	140	99	$164.00	$45.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	86	82	$56.30	$51.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	83	$156.18	$123.71
73030 X-ray of shoulder, minimum of 2 views	76	66	$185.00	$32.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$265.00	$161.77
27447 Replacement of knee joint, both sides of knee	62	61	$8433.00	$1241.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	14	$12.00	$1.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$185.00	$107.91
27130 Replacement of thigh bone and hip joint with prosthesis	40	39	$18763.00	$1243.37
20985 Computer-assisted surgery for muscle and bone procedure	37	37	$534.00	$138.93
73721 Mri scan of leg joint without contrast	16	15	$1977.00	$193.78
73221 Mri scan of arm joint without contrast	12	12	$1924.00	$198.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	1,420	43	$27.03	$13.93
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	994	189	$12.00	$6.51
73562 X-ray of knee, 3 views	340	226	$154.00	$39.51
20610 Aspiration and/or injection of fluid from large joint	291	225	$369.03	$67.23
99213 Established patient office or other outpatient visit, typically 15 minutes	258	207	$104.00	$88.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	142	$151.00	$125.10
73502 X-ray of hip, 2-3 views	137	105	$164.00	$46.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$265.00	$163.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	92	87	$56.30	$51.27
73030 X-ray of shoulder, minimum of 2 views	69	54	$185.00	$34.08
27447 Replacement of knee joint, both sides of knee	64	62	$8433.00	$1262.66
27130 Replacement of thigh bone and hip joint with prosthesis	34	31	$18404.29	$1236.14
73721 Mri scan of leg joint without contrast	24	24	$1977.00	$198.92
73221 Mri scan of arm joint without contrast	17	16	$1924.00	$203.01
73522 X-ray of both hips, 3-4 views	15	15	$232.00	$52.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,148	232	$12.00	$6.62
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,024	16	$33.00	$17.38
20610 Aspiration and/or injection of fluid from large joint	433	300	$393.04	$71.13
99213 Established patient office or other outpatient visit, typically 15 minutes	345	269	$104.00	$90.77
73562 X-ray of knee, 3 views	341	239	$154.00	$41.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	155	$151.00	$127.41
73502 X-ray of hip, 2-3 views	147	108	$164.00	$47.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$265.00	$167.00
73560 X-ray of knee, 1-2 views	85	58	$131.00	$34.66
73030 X-ray of shoulder, minimum of 2 views	71	60	$185.00	$33.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	69	66	$56.30	$52.82
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	52	23	$453.00	$131.85
27447 Replacement of knee joint, both sides of knee	50	47	$8323.38	$1267.72
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	30	12	$520.00	$148.36
27130 Replacement of thigh bone and hip joint with prosthesis	27	24	$18311.30	$1249.06
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	27	18	$1381.00	$1052.96
73721 Mri scan of leg joint without contrast	22	20	$1977.00	$211.14
73221 Mri scan of arm joint without contrast	16	16	$1924.00	$215.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$185.00	$111.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	299	212	$382.26	$69.43
99213 Established patient office or other outpatient visit, typically 15 minutes	243	202	$104.00	$91.16
73562 X-ray of knee, 3 views	228	173	$154.00	$40.21
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	228	66	$12.00	$7.49
J1040 Injection, methylprednisolone acetate, 80 mg	207	125	$17.00	$10.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	142	$151.00	$129.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$265.00	$168.13
73502 X-ray of hip, 2-3 views	96	73	$164.00	$46.68
73560 X-ray of knee, 1-2 views	88	56	$131.00	$33.39
73030 X-ray of shoulder, minimum of 2 views	78	58	$185.00	$34.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	71	67	$56.30	$52.80
27447 Replacement of knee joint, both sides of knee	50	48	$8335.18	$1269.75
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	47	23	$453.00	$135.99
73721 Mri scan of leg joint without contrast	28	27	$1977.00	$221.86
27130 Replacement of thigh bone and hip joint with prosthesis	26	25	$18763.00	$1302.24
73221 Mri scan of arm joint without contrast	24	22	$1924.00	$225.39
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	18	13	$1381.00	$1219.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$81.00	$54.36
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	12	11	$471.00	$99.75
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$7038.00	$1083.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	446	201	$17.00	$11.44
20610 Aspiration and/or injection of fluid from large joint	301	209	$333.82	$59.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	246	193	$81.00	$45.40
73562 X-ray of knee, 3 views	195	150	$154.00	$38.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	151	$151.00	$108.22
73030 X-ray of shoulder, minimum of 2 views	100	86	$185.00	$32.11
73502 X-ray of hip, 2-3 views	91	66	$164.00	$44.12
99213 Established patient office or other outpatient visit, typically 15 minutes	85	83	$104.00	$75.22
73560 X-ray of knee, 1-2 views	81	53	$131.00	$32.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$185.00	$107.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	45	$56.30	$53.34
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$223.00	$103.45
27447 Replacement of knee joint, both sides of knee	32	28	$8433.00	$1328.39
73221 Mri scan of arm joint without contrast	30	29	$1924.00	$228.29
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	29	16	$453.00	$140.98
73721 Mri scan of leg joint without contrast	25	25	$1977.00	$227.62
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	25	11	$520.00	$132.56
73110 X-ray of wrist, minimum of 3 views	19	12	$137.00	$38.45
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$18763.00	$1405.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	290	148	$17.00	$12.10
20610 Aspiration and/or injection of fluid from large joint	216	145	$314.00	$54.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	212	167	$81.00	$44.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	124	$151.00	$107.69
73562 X-ray of knee, 3 views	117	92	$154.00	$36.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$185.00	$105.79
73502 X-ray of hip, 2-3 views	104	77	$164.00	$38.92
73030 X-ray of shoulder, minimum of 2 views	95	65	$185.00	$29.32
99221 Initial hospital inpatient care per day, typically 30 minutes	82	81	$223.00	$101.65
73560 X-ray of knee, 1-2 views	74	48	$131.00	$29.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	50	$56.30	$52.66
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	50	30	$453.00	$141.75
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$104.00	$73.50
27447 Replacement of knee joint, both sides of knee	35	33	$8433.00	$1385.44
73110 X-ray of wrist, minimum of 3 views	27	20	$137.00	$33.71
73721 Mri scan of leg joint without contrast	26	25	$1977.00	$227.98
73221 Mri scan of arm joint without contrast	19	19	$1924.00	$228.01
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	19	18	$6296.00	$1199.50
73080 X-ray of elbow, minimum of 3 views	16	12	$153.00	$29.16
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$18763.00	$1386.16
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$6438.00	$1257.34
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	13	12	$471.00	$91.78
20550 Injection into tendon or ligament	13	11	$281.00	$47.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	426	180	$17.00	$12.85
20610 Aspiration and/or injection of fluid from large joint	294	173	$314.00	$54.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	238	180	$81.00	$42.95
73562 X-ray of knee, 3 views	152	119	$154.00	$34.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	134	$151.00	$105.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$185.00	$104.67
73030 X-ray of shoulder, minimum of 2 views	88	69	$185.00	$28.55
73502 X-ray of hip, 2-3 views	82	63	$164.00	$37.35
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	55	27	$453.00	$145.45
99221 Initial hospital inpatient care per day, typically 30 minutes	52	52	$223.00	$100.92
73560 X-ray of knee, 1-2 views	51	33	$131.00	$28.93
99213 Established patient office or other outpatient visit, typically 15 minutes	49	49	$104.00	$71.80
73110 X-ray of wrist, minimum of 3 views	46	25	$137.00	$33.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	25	$56.30	$52.80
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	25	23	$471.00	$88.01
27447 Replacement of knee joint, both sides of knee	23	20	$8433.00	$1342.63
73610 X-ray of ankle, minimum of 3 views	21	14	$138.00	$23.90
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	19	15	$1381.00	$518.96
73721 Mri scan of leg joint without contrast	17	17	$1977.00	$230.98
73221 Mri scan of arm joint without contrast	14	14	$1924.00	$215.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,536	22	$31.75	$12.55
J1040 Injection, methylprednisolone acetate, 80 mg	549	195	$15.20	$10.91
20610 Aspiration and/or injection of fluid from large joint	356	195	$314.00	$54.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	240	171	$81.00	$42.50
73562 X-ray of knee, 3 views	128	104	$154.00	$34.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	118	$151.00	$103.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$185.00	$105.97
73030 X-ray of shoulder, minimum of 2 views	96	77	$185.00	$27.39
73560 X-ray of knee, 1-2 views	75	44	$131.00	$28.37
73502 X-ray of hip, 2-3 views	72	51	$164.00	$37.18
99213 Established patient office or other outpatient visit, typically 15 minutes	58	54	$104.00	$69.56
99221 Initial hospital inpatient care per day, typically 30 minutes	44	44	$223.00	$100.46
73110 X-ray of wrist, minimum of 3 views	41	20	$137.00	$32.26
73221 Mri scan of arm joint without contrast	26	26	$1924.00	$229.18
73610 X-ray of ankle, minimum of 3 views	22	17	$138.00	$28.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	20	$56.30	$52.67
73721 Mri scan of leg joint without contrast	19	19	$1977.00	$228.49
73080 X-ray of elbow, minimum of 3 views	17	14	$153.00	$30.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$300.00	$135.36

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MO 110388

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

205446503 (MO)

Commercial Insurance / Payer ID Cigna

7431401002 (MO)

Commercial Insurance / Payer ID United Healthcare

0900509 (MO)

Commercial Insurance / Payer ID Aetna

7055247 (MO)

Commercial Insurance / Payer ID Group Health Plan

96955 (MO)

Commercial Insurance / Payer ID Healthlink

461320 (MO)

Commercial Insurance / Payer ID Blue Cross Blue Shield

144213 (MO)

Commercial Insurance / Payer ID Railroad Medicare

200042135 (MO)

Hospital & Practice Group Affiliations

Physical Therapy Spine And Sports Medicine Llc

15425 Manchester Rd, Ballwin, MO 630113077

Phone: 6362206969

Signature Medical Group Inc

12639 Old Tesson Rd, Saint Louis, MO 631282786

Phone: 31484903112384

Elite Physical Therapy Of Creve Coeur Llc

12788 Olive Blvd, Creve Coeur, MO 631416211

Physical Therapy Spine And Sports Medicine Llc

15425 Manchester Rd, Ballwin, MO 630113077

Phone: 6362206969

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Nathan Fisher , DO

Orthopaedic Surgery - Hand Surgery

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Doctor of Osteopathic Medicine (D.O.)

Louise Hildebolt , PA-C

Physician Assistant

NPI 1003860875

Physician Assistant (Certified)

Nathanael Olson

Orthopaedic Surgery - Hand Surgery

NPI 1033564760

Dr. Brian Fissel , MD

Orthopaedic Surgery

NPI 1053515726

Doctor of Medicine (M.D.)

Dr. Jeffrey Kreikemeier , MD

Internal Medicine - Gastroenterology

NPI 1063456986

Doctor of Medicine (M.D.)

Theresa Boxdorfer , FNP

Nurse Practitioner - Family

NPI 1063566768

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 20, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 20, 2008

Registered at 12639 OLD TESSON RD, SUITE115, SAINT LOUIS, MO 631282786 (Tel: 3148490311)

📍

Updated Business Mailing Address March 20, 2008

Registered at 12639 OLD TESSON RD, SUITE115, SAINT LOUIS, MO 631282786 (Tel: 3148490311)

👤

Provider Name / Credentials Updated March 20, 2008

Recorded as ROBERT SIGMUND, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2008

Orthopaedic Surgery (License #110388 in MO)

🟢

Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447201991

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 12, 2006

Last Update: July 16, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12639 Old Tesson Rd, Suite115

Saint Louis, MO 631282786

Phone: 3148490311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.