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. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
471
Medicare Part D claims · 104 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
What the federal data reveals: TERRENCE PIPER, M.D. is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in SAINT PETERS, Missouri with a Medicare Part D prescribing footprint of 471 claims across 104 beneficiaries .

What stands out: TERRENCE PIPER, M.D. filed 471 Medicare Part D claims in 2023 across SAINT PETERS, Missouri. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

TERRENCE PIPER, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/31/2006

NPI 1679685226

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

471 30% vs specialty avg

2023 prescription claims

Specialty avg: 362

Specialty distribution in Missouri

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Missouri providers

Missouri providers

Orthopaedic Surgery of the Spine Physician share within Missouri

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Missouri

Specialty board-certification context

Estimated specialty board-certified rate — Orthopaedic Surgery of the Spine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Orthopaedic Surgery of the Spine Physician ABMS/AOA estimate

Est. board-certified rate (Orthopaedic Surgery of the Spine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthopaedic Surgery of the Spine Physician) — ABMS / AOA estimate

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. is a Orthopaedic Surgery of the Spine Physician provider practicing in SAINT PETERS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1679685226. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIPER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

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%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

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

112 PIPER HILL DR
SAINT PETERS, MO 63376

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.

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.

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.

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

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

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