NPI registry status
Active
2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1679685226 M.D.
Verify on CMS → Terrence Piper, M.D.
Orthopaedic Surgery of the Spine Physician in Saint Peters, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,773 in Orthopaedic Surgery of the Spine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
471
Medicare Part D claims · 104 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Terrence Piper, M.D. filed 471 Medicare Part D claims in 2023 as a Orthopaedic Surgery of the Spine Physician in Saint Peters, Missouri.
- 471
- Part D claims, 2023
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Terrence Piper, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
471 Top 38% higher than 62% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Terrence Piper, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Terrence Piper, M.D.?
Quality data not reportedPrimary specialty
Orthopaedic Surgery of the Spine Physician
Medicare Part D claims
471 30% vs specialty avg
Specialty distribution in Missouri
How Orthopaedic Surgery of the Spine Physician compares to other specialties among Missouri providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Orthopaedic Surgery of the Spine Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Terrence Piper, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding M.D. credentials at 112 PIPER HILL DR, Saint Peters, MO, 63376, with a listed phone of (636) 229-5900. NPI 1679685226 was issued on 08/31/2006.
Medicare Part D records for calendar year 2023 show 471 prescription claims written by this provider, covering 104 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 28.9%.
Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1679685226 |
|---|---|
| Specialty | Orthopaedic Surgery of the Spine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/31/2006 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
471
Total Claims
$7K
Total Drug Cost
104
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 604
- Total Day Supply
- 14,144
- Generic Drug Cost
- $7K
- Opioid Claims
- 136 (28.9% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 72.0 years
- Avg HCC Risk Score
- 1.59
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Terrence Piper, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
102 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
61 claims
- Tramadol Hcl
Tramadol Hcl
58 claims
- Meloxicam
Meloxicam
44 claims
- Methocarbamol 26
Methocarbamol
26 claims
- Pregabalin 22
Pregabalin
22 claims
- Tizanidine Hcl 17
Tizanidine Hcl
17 claims
- Cyclobenzaprine Hcl 16
Cyclobenzaprine Hcl
16 claims
| Drug | Claims |
|---|---|
| Gabapentin | 102 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 61 |
| Tramadol Hcl | 58 |
| Meloxicam | 44 |
| Methocarbamol | 26 |
| Pregabalin | 22 |
| Tizanidine Hcl | 17 |
| Cyclobenzaprine Hcl | 16 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 16 |
| Diclofenac Sodium | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Orthopaedic Surgery of the Spine Physician in MO →
All providers in Missouri →
Compare specialties →
Orthopaedic Surgery of the Spine Physician Overview
How Terrence Piper, M.D. fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.
1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider
Terrence Piper, M.D.'s 471 claims are above the specialty average of 362.
Nearby Orthopaedic Surgery of the Spine Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Piper.
Dr. John Bailey
D.O.
Kirksville, MO
Dr. Keith Bridwell
MD
Saint Louis, MO
Dr. Jacob Buchowski
MD
Saint Louis, MO
Dr. John Clohisy
MD
Saint Louis, MO
Dr. Johngrant Coury
D.O.
Chesterfield, MO
Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Surgery of the Spine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Terrence Piper, M.D.'s specialty? ▼
Terrence Piper, M.D. specializes in Orthopaedic Surgery of the Spine Physician and practices in Saint Peters, Missouri. Credentials: M.D..
How much does Terrence Piper, M.D. prescribe under Medicare Part D? ▼
In 2023, Terrence Piper, M.D. wrote 471 Medicare Part D claims totaling $7K in drug costs for 104 beneficiaries.
Where is Terrence Piper, M.D. located? ▼
Terrence Piper, M.D. is located at 112 PIPER HILL DR, Saint Peters, MO, 63376. Phone: (636) 229-5900.
What is Terrence Piper, M.D.'s NPI number? ▼
Terrence Piper, M.D.'s National Provider Identifier (NPI) is 1679685226, issued on 08/31/2006.
Does Terrence Piper, M.D. prescribe opioids? ▼
Yes, Terrence Piper, M.D. had 136 opioid claims in 2023 with an opioid prescribing rate of 28.9%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US? ▼
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does Terrence Piper, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Terrence Piper, M.D.'s most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Terrence Piper, M.D. accept Medicare? ▼
Terrence Piper, M.D. appears in CMS Medicare data with 471 Part D claims and 104 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Terrence Piper, M.D.'s credentials? ▼
Terrence Piper, M.D.'s NPI is 1679685226 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.