Terrence L. Piper, MD

Terrence L. Piper

Contact Information

  • Office 636-561-5037
  • Fax 636-229-5011


Main Location

Signature Orthopedics - St. Peters
112 Piper Hill Drive
Suite 6
St. Peters, MO 63376
Get directions

Hospital Affiliations

SSM Health St. Joseph Hospital - Lake St. Louis
SSM Health St. Joseph Hospital - St. Charles
Barnes-Jewish St. Peters Hospital
Progress West Hospital

Areas of Interest

Spine Surgery, Imaging and Evaluation, Injections, Minimally Invasive Spine Surgery


Dr. Terrence Piper is a board-certified physician who has been practicing spinal care in St. Peters, MO for decades. He founded St. Peters Bone & Joint Surgery in 1980, and went on to establish Piper Spine Care in 2008 before joining Signature in 2021.

Dr. Piper's goal is to get each of his patient back to doing what they love. He prides himself on listening to each patient's individual needs. He reviews scans, procedures and test results with every patient, thoroughly discussing the problem so the patient understands his or her options and is part of the healing process.

Dr. Piper accepts all major insurances. For more information, please visit our Insurance page.

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Residency: Barnes-Jewish Hospital, Washington University in St. Louis
Internship: Barnes-Jewish Hospital, Washington University in St. Louis
Medical School: St. Louis University

Languages Spoken


Certifications & Organizations

American Board of Orthopedic Surgery
American Board of Spine Surgery
North American Spine Society
St. Louis Spine Society
Society for Minimally Invasive Spine Surgery
Society of Lateral Access Surgery
AO North America
AO Spine International
J. Albert Key Alumni Society

Awards & Honors

  • President, St. Louis Spine Society, 2009
  • Board of Directors, PACE, St. Louis University
  • Moderator break-out study sessions annual meetings, NASS
  • Presenter, Clinical Spine Grand Rounds, Louisville, Ky.
  • Chief of Surgery, Barnes St. Peters Hospital, 1985, 1991
  • Chief of Staff, Barnes St. Peters Hospital, 1983
  • The Oriflamme of St. Louis University, Lifetime Membership, June 1, 1971
  • Community Preceptor for Medical Students, St. Louis University School of Medicine, Department of Community Medicine
  • Former Cooperator of Opus Dei
  • Member, Knights of the Papal Order of the Holy Sepulchre
  • Previous White House Jesuit Retreat Center Board of Directors
  • Former Knight of the Papal Order of Malta, Hospitallers
  • Recipient, "Silver Palm of Jerusalem" by Knights of the Holy Sepulchre for Missionary Surgery performed with CRUD EM in Milot, Haiti from 1994 to 2004
  • Founder's Award, Fontbonne University, St. Louis; for missionary surgery performed in third world countries
  • Member, Legatus Society St. Louis Chapter; currently inactive
  • Member, St. Louis University School of Medicine Executive Alumni Board


  1. Early Mobilizations Following Acute Knee Ligament Repair In Dogs; An Experimental Study - Primary Author
  2. Nutrient Pathways In transferred Patellar Tendon Used For Anterior Cruciate Ligament Reconstruction - Secondary Author
  3. Vertebral Autograft Replace With Vertofil Allograft Plug for Anterior Lumbar Interbody Fusion - Primary Author