Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth A Hacker, MD

Individual provider Surgery Physician · NPI 1164484994

Kenneth A Hacker, MD is a General Surgery in Saint Peters, Missouri. Graduated from Creighton University School of Medicine in 1988, 38 years ago. Practices with Bjsph Physician Billing Services, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
38
Trained at
Creighton University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

70 Jungermann Cir Ste 405
Saint Peters, MO 63376-1637
Phone: (636) 916-7100
Fax: (636) 916-7110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence R5N50 (MO)

Record details

NPI number1164484994
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address70 Jungermann Cir Ste 405, Saint Peters, MO 63376-1637

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Bjsph Physician Billing Services, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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