OrganizationActive
Regeneration Orthopedics, LLC
NPI 1720332893 · Sports Medicine (Orthopaedic Surgery) Physician · Ballwin, MO
Provider details
- NPI number
- 1720332893
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Karen Wilson, Office Manager(636) 536-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
15945 Clayton Rd
Ste 220
Ballwin, MO 63011-2490
Phone: (636) 536-7000
Fax: (636) 898-5709
Street-level locationGet directions
Mailing address
6 Mcbride and Son Center Dr
Chesterfield, MO 63005-1418
Registry dates
- Enumerated
- 2012-10-29
- Last updated
- 2012-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.