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Dr. Coles E. L'hommedieu, MD

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Specializes in: Sports Medicine and Orthopedic Trauma

Southern Illinois University School of Medicine

Professional interests include: hip problems, total joint replacement, trauma, and more.

1011 Bowles Avenue Suite 100, 3 Locations
Fenton, MO 63026

(314) 849-0311

Dr. Coles E. L'hommedieu, MD is a sports medicine doctor in Fenton, MO specializing in sports medicine and orthopedic trauma. He graduated from Southern Illinois University School of Medicine. Dr. Coles E. L'hommedieu, MD is affiliated with SSM Health, Mercy Hospital South, Signature Medical Group, Mercy Health System, St. Luke's Hospital, St. Luke's, SSM Health St. Clare Hospital - Fenton and Old Tesson Surgery Center.

Office Locations

1011 Bowles Avenue Suite 100, 3 Locations
Fenton, MO 63026

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St. Luke's

12639 Old Tesson Ferry Suite 115
Saint Louis, MO 63128

(314) 849-0311

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12639 Old Tesson Road Suites 100 and 115
Saint Louis, MO 63128

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Some issues Dr. Coles E. L'hommedieu, MD can help you with:

Replacement Arthroplasty (Joint Replacement)

Joint replacement, sometimes also called arthroplasty, is an option when a joint becomes severely damaged by disease or injury. The damaged cartilage of the joint is surgically removed, the ends of the bones in the joint are resurfaced, and a prosthetic is installed. Most prosthetic joints are made of a metal piece that fits into a plastic sleeve so that they glide smoothly. A joint replacement increases stability in the damaged area and decreases pain. The hip and knee are the two joints most commonly replaced, but joint replacement can also be performed on the ankle, shoulder, elbow and even fingers.

Although joint replacement is one of the safest and most reliable medical procedures available, it is still a major surgical procedure. All surgical procedures carry risks, such as infection or blood clots. For this reason, doctors try to help their patients avoid surgery for as long as they can. Taking arthritis medications, losing weight, avoiding high impact sports such as running, taking supplements such as glucosamine or chondroitin, or having joint injections may allow a patient to enjoy life without the need for surgery.

After having joint replacement surgery, patients can expect some pain the first few days as they recover. Physical therapy is an important part of recovery, and it can decrease complications and increase future mobility. As soon as possible, returning to low impact sports such as swimming, walking or biking can stretch and heal the new joint. A prosthetic joint can last 15 - 20 years and cannot be further damaged by degenerative diseases such as arthritis, so once it is done patients should be pain-free for many years.

Noteworthy Medicare Patient Procedures Performed by Dr. Coles E. L'hommedieu, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

lower extremity surgery

major joint aspiration

major joint injection

MRI

reconstructive surgery

By Affordability:

In 2023, among providers in related specialties within Missouri, Dr. Coles E. L'hommedieu, MD performed more ankle MRI, hip MRI, joint imaging, joint reconstruction, knee MRI, knee X-ray, lower extremity surgery, major joint aspiration, major joint injection, MRI (magnetic resonance imaging), and reconstructive surgery procedures for Medicare patients than 95% of them and he also had a list price for ankle MRI, hip MRI, joint MRI, knee MRI, lower extremity MRI, and MRI (magnetic resonance imaging) that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

total hip replacement

total knee replacement

In 2023, Dr. Coles E. L'hommedieu, MD performed more total hip replacement, and total knee replacement procedures for Medicare patients than 90% of providers in related specialties within Missouri.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2012 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	472
doctor visit	691
hip imaging	166
hospital care	42
injections	472
inpatient care	42
joint surgery	34
lower extremity surgery	34
MRI (magnetic resonance imaging)	18
musculoskeletal imaging	259
pelvic imaging	146
reconstructive surgery	34
X-rays	387

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2013 were X-rays, aspiration, injections and musculoskeletal imaging.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	356
doctor visit	601
hip imaging	137
hospital care	33
injections	356
inpatient care	33
joint surgery	46
lower extremity surgery	46
MRI (magnetic resonance imaging)	13
musculoskeletal imaging	266
pelvic imaging	128
reconstructive surgery	46
X-rays	381

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	160
Female	279

**Ethnicity**
Non-Hispanic White	420
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	183
From 75 to 84	139
85 and over	52
Less than 65	65

Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD in 2013

Hypertension	72
High Cholesterol	59
Stroke	7
Ischemic Heart Disease	36
Depression	31
Chronic Kidney Disease	25
Asthma	10
Osteoperosis	15
Atrial Fibrilation	12
Heart Failure	18
Chronic Obstructive Pulmonary Disease	16
Diabetes	28
Dementia	11
Cancer	8

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2014 were X-rays, aspiration, injections and musculoskeletal imaging.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	382
doctor visit	667
hip imaging	184
hospital care	38
injections	382
inpatient care	38
joint surgery	68
lower extremity surgery	68
MRI (magnetic resonance imaging)	21
musculoskeletal imaging	319
pelvic imaging	160
reconstructive surgery	68
spinal procedures	13
X-rays	471

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	171
Female	328

**Ethnicity**
Non-Hispanic White	474
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	215
From 75 to 84	146
85 and over	63
Less than 65	75

Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD in 2014

Hypertension	70
High Cholesterol	57
Stroke	3
Ischemic Heart Disease	37
Depression	33
Chronic Kidney Disease	23
Asthma	8
Osteoperosis	16
Atrial Fibrilation	10
Heart Failure	20
Chronic Obstructive Pulmonary Disease	13
Diabetes	29
Dementia	11
Cancer	10

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2015 were X-rays, aspiration, injections and musculoskeletal imaging.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	372
doctor visit	703
hip imaging	162
hospital care	45
injections	372
inpatient care	45
joint surgery	62
lower extremity surgery	62
minimally invasive procedures	12
MRI (magnetic resonance imaging)	23
musculoskeletal imaging	314
pelvic imaging	132
reconstructive surgery	50
spinal procedures	12
X-rays	435

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	392
Female	740

**Ethnicity**
Non-Hispanic White	1064
Black	22
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	486
From 75 to 84	334
85 and over	146
Less than 65	166

Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD in 2015

Hypertension	73
High Cholesterol	57
Stroke	6
Ischemic Heart Disease	37
Depression	31
Chronic Kidney Disease	31
Asthma	13
Osteoperosis	14
Atrial Fibrilation	13
Heart Failure	21
Chronic Obstructive Pulmonary Disease	18
Diabetes	26
Dementia	8
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2016 were aspiration, injections, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	457
doctor visit	795
fracture surgery	14
hip imaging	38
hospital care	57
injections	457
inpatient care	57
joint surgery	63
lower extremity surgery	77
MRI (magnetic resonance imaging)	38
musculoskeletal imaging	242
reconstructive surgery	63
X-rays	204

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	228
Female	423

**Ethnicity**
Non-Hispanic White	626
Black	0
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	281
From 75 to 84	195
85 and over	94
Less than 65	81

Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD in 2016

Hypertension	71
High Cholesterol	56
Stroke	4
Ischemic Heart Disease	31
Depression	29
Chronic Kidney Disease	31
Asthma	17
Osteoperosis	11
Atrial Fibrilation	12
Heart Failure	20
Chronic Obstructive Pulmonary Disease	15
Diabetes	28
Dementia	11
Cancer	8

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2017 were aspiration, injections, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	343
doctor visit	736
fracture surgery	31
hip imaging	31
hospital care	64
injections	343
inpatient care	64
joint surgery	122
lower extremity surgery	137
minimally invasive procedures	28
MRI (magnetic resonance imaging)	31
musculoskeletal imaging	276
open surgery	16
reconstructive surgery	94
X-rays	245

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	217
Female	399

**Ethnicity**
Non-Hispanic White	592
Black	0
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	290
From 75 to 84	193
85 and over	73
Less than 65	60

Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD in 2017

Hypertension	75
High Cholesterol	52
Stroke	5
Ischemic Heart Disease	32
Depression	30
Chronic Kidney Disease	33
Asthma	11
Osteoperosis	12
Atrial Fibrilation	13
Heart Failure	22
Chronic Obstructive Pulmonary Disease	16
Diabetes	30
Dementia	9
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2018 were aspiration, injections, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	299
doctor visit	656
fracture surgery	11
hip imaging	38
hospital care	75
injections	299
inpatient care	75
joint surgery	80
lower extremity surgery	91
MRI (magnetic resonance imaging)	38
musculoskeletal imaging	249
reconstructive surgery	80
X-rays	211

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	203
Female	379

**Ethnicity**
Non-Hispanic White	557
Black	0
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	264
From 75 to 84	178
85 and over	79
Less than 65	61

Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD in 2018

Hypertension	75
High Cholesterol	65
Stroke	4
Ischemic Heart Disease	37
Depression	32
Chronic Kidney Disease	40
Asthma	8
Osteoperosis	12
Atrial Fibrilation	13
Heart Failure	24
Chronic Obstructive Pulmonary Disease	17
Diabetes	30
Dementia	11
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2019 were aspiration, injections, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	304
doctor visit	640
fracture surgery	33
hip imaging	23
hospital care	75
injections	304
inpatient care	75
joint surgery	92
lower extremity surgery	111
MRI (magnetic resonance imaging)	23
musculoskeletal imaging	243
open surgery	14
reconstructive surgery	92
X-rays	220

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	208
Female	373

**Ethnicity**
Non-Hispanic White	555
Black	0
Hispanic	0
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	270
From 75 to 84	177
85 and over	77
Less than 65	57

Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD in 2019

Hypertension	75
High Cholesterol	66
Stroke	3
Ischemic Heart Disease	35
Depression	32
Chronic Kidney Disease	38
Asthma	8
Osteoperosis	12
Atrial Fibrilation	15
Heart Failure	21
Chronic Obstructive Pulmonary Disease	13
Diabetes	30
Dementia	14
Cancer	13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2020 were aspiration, injections, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	274
doctor visit	565
hip imaging	34
hospital care	44
injections	274
inpatient care	44
joint surgery	88
lower extremity surgery	88
MRI (magnetic resonance imaging)	34
musculoskeletal imaging	235
reconstructive surgery	88
X-rays	201

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	202
Female	311

**Ethnicity**
Non-Hispanic White	487
Black	0
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	244
From 75 to 84	163
85 and over	57
Less than 65	49

Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD in 2020

Hypertension	71
High Cholesterol	62
Stroke	0
Ischemic Heart Disease	34
Depression	30
Chronic Kidney Disease	37
Asthma	7
Osteoperosis	10
Atrial Fibrilation	14
Heart Failure	21
Chronic Obstructive Pulmonary Disease	14
Diabetes	29
Dementia	11
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2021 were musculoskeletal imaging, aspiration, injections and X-rays.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	263
doctor visit	623
hip imaging	30
hospital care	40
injections	263
inpatient care	40
joint surgery	109
lower extremity surgery	109
MRI (magnetic resonance imaging)	30
musculoskeletal imaging	281
pelvic imaging	11
reconstructive surgery	109
X-rays	262

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	205
Female	337

**Ethnicity**
Non-Hispanic White	518
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	265
From 75 to 84	168
85 and over	64
Less than 65	45

Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD in 2021

Hypertension	73
High Cholesterol	68
Stroke	4
Ischemic Heart Disease	32
Depression	32
Chronic Kidney Disease	33
Asthma	5
Osteoperosis	9
Atrial Fibrilation	14
Heart Failure	19
Chronic Obstructive Pulmonary Disease	11
Diabetes	30
Dementia	10
Cancer	11

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO during 2022 were aspiration, injections, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

aspiration	374
doctor visit	788
hip imaging	43
hospital care	42
injections	374
inpatient care	42
joint surgery	112
lower extremity surgery	112
minimally invasive procedures	18
MRI (magnetic resonance imaging)	43
musculoskeletal imaging	310
reconstructive surgery	94
X-rays	267

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	264
Female	415

**Ethnicity**
Non-Hispanic White	651
Black	0
Hispanic	0
Asian	0
Other	12
Native American	0

**Age**
From 65 to 74	324
From 75 to 84	241
85 and over	76
Less than 65	38

Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	26
Depression	27
Chronic Kidney Disease	26
Asthma	7
Osteoperosis	17
Atrial Fibrilation	18
Heart Failure	15
Chronic Obstructive Pulmonary Disease	12
Diabetes	26
Dementia	8
Cancer	14

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Coles E. L'hommedieu, MD for Medicare patients.

The highest averages for the top procedures that Dr. Coles E. L'hommedieu, MD treated as a sports medicine doctor in Fenton, MO were aspiration, injections, X-rays and musculoskeletal imaging.

aspiration	354
doctor visit	678
fracture surgery	22
hip imaging	80
hospital care	50
injections	354
inpatient care	50
joint surgery	79
lower extremity surgery	85
minimally invasive procedures	19
MRI (magnetic resonance imaging)	28
musculoskeletal imaging	272
open surgery	15
pelvic imaging	115
reconstructive surgery	74
spinal procedures	12
X-rays	298

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Coles E. L'hommedieu, MD.

**Gender**
Male	204
Female	362

**Ethnicity**
Black / African American	2
Asian / Pacific Islander	0
Non-Hispanic White	540
Native American / Alaskan Native	0
Hispanic	0
Other	6

**Age**
75 to 84	175
85 and over	71
Less than 65	63
65 to 74	256

Average of Total of Conditions of Medicare patients treated by Dr. Coles E. L'hommedieu, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Coles E. L'hommedieu, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	66
High Cholesterol	56
Stroke	3
Ischemic Heart Disease	30
Depression	27
Chronic Kidney Disease	28
Asthma	8
Osteoporosis	11
Heart Failure	18
Chronic Obstructive Pulmonary Disease	13
Diabetes	26
Atrial Fibrillation	12
Dementia	9
Cancer	9

Education & Training

Dr. Coles E. L'hommedieu, MD graduated from Southern Illinois University School of Medicine. He completed residency at St. Louis University (SLU) Affiliated Hospitals. He is certified by the American Board of Orthopaedic Surgery Drug Enforcement Administration Illinois Department of Financial & Professional Regulation Missouri Dept of Health/Narcotics&Dangerous Drugs Missouri State Board of Registration and has a state license in Missouri.

Medical School: Southern Illinois University School of Medicine

Residency: St. Louis University (SLU) Affiliated Hospitals

Board Certification: American Board of Orthopaedic Surgery Drug Enforcement Administration Illinois Department of Financial & Professional Regulation Missouri Dept of Health/Narcotics&Dangerous Drugs Missouri State Board of Registration

Licensed In: Missouri

Affiliations & Hospitals

Dr. Coles E. L'hommedieu, MD is associated with these hospitals and organizations:

SSM Health

Mercy Hospital South

Signature Medical Group

Mercy Health System

St. Luke's Hospital

St. Luke's

SSM Health St. Clare Hospital - Fenton

Old Tesson Surgery Center

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Coles E. L'hommedieu, MD appears to accept the following insurance providers: TRICARE, United Healthcare PPO, Aetna HMO, Coventry, MultiPlan, Railroad Medicare, Coventry HMO, MO HealthNet, HealthLink PPO, CIGNA PPO, Beech Street, Workers' Compensation, Medicare, PHCS PPO, United Healthcare Select Plus and Blue Access / Blue Access Choice.

Insurance Accepted by Provider includes:

According to our sources, Dr. Coles E. L'hommedieu, MD accepts the following insurance providers:

TRICARE

United Healthcare PPO

Aetna HMO

Coventry

MultiPlan

Railroad Medicare

Coventry HMO

MO HealthNet

HealthLink PPO

CIGNA PPO

Beech Street

Workers' Compensation

Medicare

PHCS PPO

United Healthcare Select Plus

Blue Access / Blue Access Choice

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General Payments

These charts describe general payments received by Dr. Coles E. L'hommedieu, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Limacorporate S.p.A.	$54,955 Physica $39,431	PHYSICA CR $11,173	LANTERN SURGICAL ASSISTANT $4,351
Zimmer Biomet Holdings, Inc.	$24,978 Persona $12,755	PD-Knee-New Product $5,231	NexGen $2,325	Vanguard $1,550	Knees Product Portfolio $1,514	Other $1,603
Lima USA, Inc.	$15,085 Physica $15,085
DePuy Orthopaedics Inc.	$5,666 DePuy Synthes Advantage $4,320	Orthopaedics $1,346
Iroko Pharmaceuticals, LLC	$1,320 ZORVOLEX $1,320
Other	$841 GMRS $114	Ortho-Shoulder $35	ALL ARTHREX PRODUCT LINES $32	Zilretta $29	STRATAFIX $26	Other $606

**Types of Payments**
Consulting Fee	$77,190
Travel and Lodging	$17,828
Royalty or License	$4,351
Food and Beverage	$2,410
Education	$1,067

Biography

Dr. Coles Lhommedieu is an orthopedic trauma and sports medicine specialist in Saint Louis, MO and Fenton, MO. Areas of particular interest for Dr. Lhommedieu include knee problems, total joint replacement, and trauma. He takes Coventry, Viant, and CIGNA Plans, in addition to other insurance carriers. He attended Southern Illinois University School of Medicine and subsequently trained at a hospital affiliated with St. Louis University (SLU) for residency. He has received professional recognition including the following: Recognized by Castle Connolly as a Top Doctor. His hospital/clinic affiliations include SSM Health St. Clare Hospital - Fenton, Signature Medical Group, and St. Luke's. According to St. Luke's, Dr. Lhommedieu is currently accepting new patients at his office in St. Louis, MO.