Richard Douglas Rames, M.D.
NPI 1548642168ActiveIndividual· Orthopaedic Surgery· Chesterfield, MO
Orthopaedic Surgery (M.D.) with Physical Therapy Spine and Sports Medicine LLC and 2 other groups, practicing in Chesterfield, Missouri. 631 Medicare patients in 2024, $245,021 paid; nearly all of their 1,242 Part D prescriptions were generic (99%). Intellijoint Surgical Inc. was the largest of 2 companies reporting payments in 2025, $535.58 in all, mostly consulting fees. Lists St Lukes Hospital as a hospital affiliation.
Overview
| NPI | 1548642168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 19, 2015 |
| Last updated in NPPES | Feb 2, 2023 |
| Certified by provider | Feb 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 2021001825 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 631 |
|---|---|
| Services billed | 19,617 across 78 procedure codes |
| Paid by Medicare | $245,021 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,242 · 1,285 30-day fills |
|---|---|
| Patients | 343 |
| Total drug cost | $13,229 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Orthopedic Surgery |
Medical groups
- Physical Therapy Spine and Sports Medicine LLCBallwin, MO · 129 clinicians
- Elite Physical Therapy of Creve Coeur LLCCreve Coeur, MO · 91 clinicians
- St Lukes Orthopedics Woods Mill LLCChesterfield, MO · 13 clinicians
Hospital affiliation
- St Lukes HospitalChesterfield, MO
Other facilities
- St Luke's Home Health ServicesHome health agency · Chesterfield, MO
- Ssm Health Rehabilitation HospitalInpatient rehabilitation facility · Richmond Heights, MO
Industry payments (Open Payments)
- 2025$535.58 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Intellijoint Surgical Inc. | $500.00 | 1 |
| Elite Orthopedics, LLC | $35.58 | 2 |
What the 2025 payments were for
- Consulting Fee$500.00 · 1 payment
- Food and Beverage$35.58 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 30 orthopedic surgeons in Chesterfield · All orthopedic surgeons in Missouri