Des Peres Square Imaging Center LLC
NPI 1134120454 · Magnetic Resonance Imaging (MRI) Clinic/Center · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Des Peres Square Imaging Center LLC is a Magnetic Resonance Imaging (MRI) Clinic/Center organization in Saint Louis, MO (NPI 1134120454).
Provider details
- NPI number
- 1134120454
- Entity type
- Organization
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Orthopedic Associates LLC
- Organization subpart
- Yes
- Authorized official
- Larry Polley, Executive Director(314) 569-0612
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
21 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
125 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Mri Scan of Leg Joint Without Contrast73721 | 61 | $132 |
| Mri Scan of Arm Joint Without Contrast73221 | 37 | $136 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 27 | $113 |
Typical Medicare-allowed amounts for these services range $113–$136 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2011-03-09
Frequently asked questions
- What is Des Peres Square Imaging Center LLC's NPI number?
- Des Peres Square Imaging Center LLC's National Provider Identifier (NPI) is 1134120454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Des Peres Square Imaging Center LLC?
- Des Peres Square Imaging Center LLC is classified in the NPPES registry as Magnetic Resonance Imaging (MRI) Clinic/Center (Ambulatory Health Care Facilities).
- Where is Des Peres Square Imaging Center LLC located?
- Des Peres Square Imaging Center LLC's practice location on file with NPPES is 1050 Old Des Peres Rd, Saint Louis, MO 63131-1873.
- What is Des Peres Square Imaging Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Des Peres Square Imaging Center LLC is (314) 569-2412.
- Does Des Peres Square Imaging Center LLC accept Medicare?
- Des Peres Square Imaging Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Des Peres Square Imaging Center LLC?
- The authorized official listed on Des Peres Square Imaging Center LLC's NPPES record is Larry Polley, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Des Peres Square Imaging Center LLC's NPI active?
- Yes — Des Peres Square Imaging Center LLC's NPI (1134120454) is active in the NPPES registry as of the last update on 2011-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.