CMS-1500 Box 24J / 33a • NPI
1396784252
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QA1903X (CMS 49)
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
10435 CLAYTON RD, STE 110, FRONTENAC, MO, 63131-2930
✓ 9-Digit EDI 837 ZIP+4 (63131-2930)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1396784252 (FRONTENAC AMBULATORY SURGERY & SPINE CARE CENTER LP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1396784252)
Medicare Beneficiaries
220
Total Billed Services
1,005
Distinct CPT/HCPCS Codes
39
Medicare Allowed Total
$486,449.54
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
62321 | Injection of substance into middle or upper spine canal using imaging guidance | 22 |
62323 | Injection of substance into lower spine canal using imaging guidance | 79 |
64479 | Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | 27 |
64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 64 |
64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 81 |
64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 62 |
64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 60 |
64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 36 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1396784252 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | FRONTENAC AMBULATORY SURGERY & SPINE CARE CENTER LP |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QA1903X (Clinic/Center, Ambulatory Surgical) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 10435 CLAYTON RD, STE 110, FRONTENAC, MO, 63131-2930 |
| Practice Telephone / Fax | Tel: (314) 995-3990 | Fax: (314) 995-8520 |
| Administrative Mailing Address | 10435 CLAYTON RD, FRONTENAC, MO, 63131-2930 |
| Enumeration & Last Sync | Enumerated: 2006-06-06 | CMS Record Updated: 2024-09-05 |
| Authorized Official | CHRISTOPHER HARTSHORN (Officer, Authorized Official) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QA1903X)
What Does Taxonomy Code 261QA1903X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QA1903X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (FRONTENAC AMBULATORY SURGERY & SPINE CARE CENTER LP)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QA1903X — Clinic/Center, Ambulatory SurgicalPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: MO | License: 208-0 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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