Signature Orthopedics St. Louis

What Signature Orthopedics St. Louis does

Signature Orthopedics St. Louis is the orthopedic division of Signature Medical Group, Inc., a physician-owned, independent multi-specialty group practice headquartered in St. Louis, Missouri. The division operates five St. Louis-area clinical locations (notably Fenton and South County/St. Louis) supported by the broader Signature Medical Group's footprint that also reaches the Kansas City metropolitan area through wholly-owned subsidiaries Kansas City Bone & Joint Clinic, Carondelet Rheumatology, and Rehabilitation and Spasticity Specialists of St. Louis. Across the Signature Orthopedics practice, 30+ board-certified, fellowship-trained physicians and advanced practice clinicians deliver a full musculoskeletal continuum of care — spanning sports medicine, total and partial joint replacement, spine, hand and wrist, foot and ankle, pediatric orthopedics, interventional pain management, physical medicine and rehabilitation, and orthopedic trauma — and the group logs 170,000+ patient visits per year.

The service delivery is built around integrated onsite capabilities including X-ray, 1.5 Tesla MRI, casting and splinting, injections, durable medical equipment, ambulatory surgery center use, minimally invasive and robot-assisted surgical techniques, and telehealth visits. The practice is differentiated commercially by three layers: (1) a traditional fee-for-service clinical stream billed through insurance plus patient copays/deductibles; (2) Signature Direct, a direct care program that offers self-insured employers set per-visit rates and bundled package pricing across 70+ procedures, bypassing insurance claims; and (3) a Workers' Compensation program with same-day/next-day appointments, extended hours, IME services, and adjudicated claims coordination. Patient-facing channels include a multi-location website, active social media presence, the Signature Speaks community health education program, and direct employer partnerships.

Signature Orthopedics St. Louis has no external private equity or corporate parent ownership; the parent Signature Medical Group is physician-owned. The company has been recognized regionally as a top employer (St. Louis Business Journal Best Places to Work finalist 2024; St. Louis Post-Dispatch Top Workplaces 2024 and 2025; Kansas City Star Top Workplaces 2025), and its CEO Dr. Coles E. L'Hommedieu received a 2026 Titan 100 recognition. Multiple physicians carry Castle Connolly Top Doctor designations spanning 2022-2026. Operating geographies are limited to Missouri and Kansas metro areas; revenue figures are not publicly disclosed.

Name

Signature Orthopedics St. Louis

Legal name

Signature Medical Group, Inc.

Website

https://sigorthostl.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Signature Orthopedics St. Louis is the orthopedic division of physician-owned Signature Medical Group, providing full-spectrum musculoskeletal care across five St. Louis locations to individual patients, self-insured employers via Signature Direct, and workers' compensation programs.

Ownership category

akta.pro rank

Product category

Orthopedic Healthcare Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Offices of Physicians (62111), Offices of Physicians (6211)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

General Orthopedics (HLAKALAA)

akta.pro secondary industries

Orthopedic Surgery (Operative Orthopedics) (HLAKALAC), Orthopedic & Spine Surgery Centers (HLAFAIAG), Orthodontic Imaging & Treatment Planning Centers (HLABAIAI)

Keywords

• Orthopedic care
• Musculoskeletal treatment
• Joint replacement
• Sports medicine
• Orthopedic surgery

Headquarters

HQ city

Fenton

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Patient Care Services: Fee-for-service healthcare delivery through insurance billing and self-pay for orthopedic consultations, diagnostics, and surgical procedures.
2. Signature Direct (Direct Care Program): Bundled payment program for employers providing set rates per visit and bundled package rates for orthopedic care periods, reducing costs to self-insured employers without insurance claims.
3. Workers' Compensation Services: Medical care for work-related injuries billed through workers' compensation insurance programs with collaborative claims management.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Signature Orthopedics St. Louis is a physician-owned orthopedic care practice providing comprehensive bone and joint services including consultations, diagnostic imaging (X-ray and 1.5 Tesla MRI), casting, splinting, injections, durable medical equipment, outpatient surgery, and minimally invasive procedures. The practice also operates employer-focused direct care programs (Signature Direct), workers' compensation services, urgent orthopedic care (Orthopedics NOW!), and telehealth appointments across multiple St. Louis locations.

Product overview

Signature Orthopedics is a comprehensive orthopedic care practice serving the St. Louis area as part of Signature Medical Group, a physician-owned multi-specialty group operating in St. Louis and Kansas City with practitioners across 22 specialties. The core Signature Orthopedics product provides full-spectrum orthopedic services including surgical and non-surgical treatment of bone and joint conditions, supported by complementary programs: Signature Direct (employer-focused direct care program with bundled payment rates for orthopedic procedures), Workers' Compensation (specialized work injury care with same-day appointments and IME services), and Signature Speaks (community health education program). Additional services include telehealth appointments for virtual consultations and Orthopedics NOW! urgent care for after-hours orthopedic injuries. The practice maintains multiple locations in the St. Louis area including Fenton and South County.

Differentiator

Problem solved

Functional benefit

Brands

• Signature Direct: Direct care program providing high-quality, cost-effective orthopedic solutions for employers with set rates per visit and bundled package rates.
• Orthopedics NOW!
• Signature Speaks

Products and services

• Signature Orthopedics St. Louis Comprehensive orthopedic care practice providing bone and joint doctor appointments, diagnostic imaging (X-ray and 1.5 Tesla MRI), casting, splinting, injections, durable medical equipment (DME), outpatient surgery, and immediate orthopedic care services. Covers specialty areas including sprains, strains, fractures, arthritis, total and partial joint replacements, minimally invasive procedures, disc replacement, sports injuries, foot and ankle, hand and wrist, hip and knee, elbow and shoulder, spine pain care, concussion treatment, pediatric and adolescent orthopedics, diabetic foot care, interventional pain management, physical medicine and rehabilitation, and orthopedic trauma.
• Signature Direct Direct care program providing high-quality, cost-effective healthcare solutions for employers and employees with set rates per visit and bundled package rates based on expected costs for clinically defined periods of orthopedic care. Reduces costs to self-insured employers without submitting insurance claims. Offers more than 70 procedures in subspecialties including total joint replacement, pain management, imaging, foot and ankle, hand and wrist, and knee.
• Workers' Compensation Services Workers' compensation program providing same-day and next-day appointments, work status evaluations, extended hours including evenings and weekends, prompt communication to claims adjusters, independent medical evaluations (IME), ratings, second opinions, medical record reviews, MRI (1.5 Tesla) and X-ray services onsite, and cost-effective physician care for work-related injuries.
• Orthopedics NOW! Urgent Care Urgent orthopedic care clinic providing immediate treatment for sprains, strains, fractures, and sports injuries with extended hours including evenings and weekends, offering cost-effective alternative to emergency room visits.
• Telehealth Appointments Virtual healthcare appointments allowing patients to consult with orthopedic physicians remotely for consultations, follow-ups, and certain healthcare-related communications.

Quantifiable outcome

• 170,000+ patient visits annually
• +1 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Five partnerships are on record, tiered core and minor.

• Arthritis FoundationcoreStrategic or Co-development PartnerPartnership for community health education events. Arthritis Foundation co-sponsors joint health forums and orthopedic education programs including joint health events, injury prevention seminars, and healthy living presentations at local businesses and organizations.
• Keeley CompaniesminorGTM or Marketing PartnerHost of joint health educational event featuring Signature Orthopedics physicians discussing arthritis, joint health, and healthy living topics.
• SSM HealthcoreStrategic or Co-development PartnerHospital affiliation for orthopedic procedures and co-sponsor of community health events including 'From Couch to Championship' fitness injury prevention program.
• Fleet Feet St. LouisminorGTM or Marketing PartnerCo-host of 'Outrun Injuries' running injury prevention event at Fleet Feet South County location, focusing on common running injuries and podiatric care.
• Intelica CREminorGTM or Marketing PartnerHost of healthy snacking and nutrition education event for employees at commercial real estate advisory firm.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• The CORE Institute: Arizona-based orthopedic and neurology specialty group with multiple sites, ASCs, and an integrated research arm. Comparable independent specialty group with strong subspecialty coverage and ASC footprint.
• Resurgens Orthopaedics: Large independent orthopedic practice in Georgia with subspecialty physicians, MRI, physical therapy, and ASC services. Mirrors Signature's vertically integrated musculoskeletal model.
• Midwest Orthopaedics at Rush: Subspecialty orthopedic group based in Chicago offering total joints, sports medicine, spine, and orthopedic oncology with academic affiliations. Comparable multi-subspecialty clinical depth and ambulatory surgery model.
• OrthoCarolina: Independent, physician-owned orthopedic specialty group operating across the Carolinas with subspecialty coverage, on-site imaging, and ambulatory surgery centers. Closely matches Signature's model of integrated multi-site orthopedic care.
• Rothman Orthopaedic Institute: Large, multi-site orthopedic specialty practice with on-site imaging, ASCs, and physical therapy across the Mid-Atlantic. Directly comparable to Signature as an independent, subspecialty-focused orthopedic group offering integrated musculoskeletal care.
• Twin Cities Orthopedics: Independent, physician-owned orthopedic group in the Minneapolis-St. Paul region offering sports medicine, joint replacement, and spine care with on-site imaging and surgery centers. Comparable multi-site independent orthopedic platform.

Broad incumbents

• Hospital for Special Surgery: National leader in orthopedic and rheumatologic care operating a specialty hospital plus outpatient sites. Relevant broader incumbent showing the upper bound of subspecialty orthopedic scale, but a fundamentally different institutional model.
• BJC Medical Group Orthopedics: Hospital-employed orthopedic service line within BJC HealthCare, a major St. Louis competitor. Directly competes with Signature for orthopedic volume in the same metro and offers integrated hospital delivery.
• Washington University Orthopedics: Academic orthopedic group in St. Louis with deep subspecialty coverage and research reputation. Represents the dominant academic competitor that captures complex referrals in Signature's home market.
• SSM Health Orthopedics: SSM Health's orthopedic service line, an existing Signature hospital-affiliation partner and direct St. Louis competitor. Demonstrates the scale and breadth that an integrated health system can bring to orthopedic care in the same market.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/signaturemedgrp
• YouTubeyoutube.com/user/SignatureMedGrp
• Facebookfacebook.com/signaturemedicalgroup
• LinkedInlinkedin.com/company/signature-orthopedics-st-louis
• Instagraminstagram.com/signaturemedicalgroup

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Signature Orthopedics St. Louis