About Signature Direct
Signature Orthopedics’ direct care program is an innovative healthcare service that provides high-quality, cost-effective solutions for employers and employees. We offer set rates per visit and bundled package rates based on expected costs for clinically defined periods of orthopedic care. This program reduces costs to self-insured employers without submitting claims to insurance.
Signature Orthopedics manages everything related to the care period, from selecting a physician and scheduling appointments to gathering medical records and coordinating logistics and follow-up visits. This reduces unnecessary stress for the patient and ensures appropriate post-surgical care. It can also shorten the timeline for appointments and surgery through coordinated care.
In this program, we offer more than 70 procedures in the following subspecialties:
- Total Joint Replacement
- Pain Management
- Imaging
- Foot and Ankle
- Hand and Wrist
- Knee
Why Choose Signature?
With more than 12 years of experience managing Medicare and commercial orthopedic bundles, Signature delivers proven expertise and exceptional patient care. We partner locally with several large national employers and provide a comprehensive range of orthopedic services, offering procedures performed by specialists across multiple service lines. To help reduce costs, we offer an on-site ambulatory surgery center (ASC) for most bundled procedures, with select hand procedures conveniently performed in the exam room. Our team also provides a single point of contact for employees and benefits managers, along with a simplified billing process that minimizes administrative burden for employers.
Our Overall Orthopedic Practice Offers:
- Surgical and Non-Surgical Orthopedic Care
- Joint Replacement of the Hip, Knee, and Shoulder
- Hand and Upper Extremity Surgery
- Foot and Ankle Care, Podiatry
- Sports Medicine
- Physical Medicine and Rehabilitation, Spine Care
- Reconstruction Surgery
- Imaging Services
- Physical Therapy
For questions about the program or to schedule an appointment, call 314-849-0311 or email our team at signaturedirect@signaturehealth.net.
Top-Rated Care, Top-Rated Teams
We're proud to share that Castle Connolly, a leading healthcare research firm, has consistently recognized our providers as "Top Doctors." We're also thrilled to have been named finalists for the St. Louis Business Journal's Best Places to Work award in 2024, and to have been recognized by the St. Louis Post-Dispatch as a Top Workplace in 2024 and 2025.
Dr. Coles E. L'Hommedieu, President of Signature Medical Group, was named a 2026 Titan 100 in St. Louis. The Titan 100 recognizes St. Louis’s Top 100 CEOs and C-level executives, the region’s most accomplished leaders who have not only built extraordinary companies but have redefined what it means to lead. These Titans exemplify excellence through their vision, passion, and integrity, creating lasting impact across industries and communities.
Why Awards Should Matter to You
These accolades highlight our commitment to providing exceptional care. When you choose our providers, you entrust your health to top-tier medical professionals. Our dedicated team, who love what they do, ensures you receive compassionate and personalized care.