Matthew J Gibfried, MD
Individual provider Active NPI Internal Medicine Physician · Saint Louis, MO
NPI 1104887728 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1104887728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2005023728 (MO)
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6339
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 15
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Missouri, Columbia School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Great Mines Health Center
MD at Home LLC
Aging Well Health Care, LLC
Practice addresses (Care Compare)
1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-9355
12973 Olive Arcade Plaza
Saint Louis, MO 63141-6149
12973 Olive Blvd
Saint Louis, MO 63141-6149
Phone (314) 548-2172
7212 Balson Ave
Saint Louis, MO 63130-3001
Hospital & facility affiliations
- Aw Health Care
- Dover Home Health Mo STL Metro, LLC
- Premiere Home Health
- Heartland Hospice (St Louis)
- Dover Hospice Mo STL Metro, LLC
- FV Hospice
- Three Oaks Hospice
- Breeze Hospice of Missouri
- Missouri Baptist Medical Center
- St Lukes Hospital
- Mercy Hospital St Louis
- Washington County Memorial Hospital
- Mercy Hospital South
- Gardens Health and Rehab, the
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Heartland Hospice (St. Louis) |
Hospice | Contracted Managing Employee | Nov 1, 2021 |
| Dover Hospice Mo STL Metro, LLC |
Hospice | Contracted Managing Employee | Aug 21, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060329000021 | MO | Practitioner - Internal Medicine |
7618985920 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Mines Health Center | Current |
Accepting new patients | |
| Mercy Aco Clinical Services Inc | Emergency Medicine | Current |
Accepting new patients |
| Great Mines Health Center | Current |
Accepting new patients | |
| MD at Home LLC | Internal Medicine | Current |
Accepting new patients |
| Advanced Psychiatric Services Inc | Current |
Accepting new patients | |
| Great Mines Health Center | Current | Accepting new patients | |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
| Advanced Psychiatric Services | Past | Accepting new patients | |
| Georgian Gardens Healthcare LLC | Past | Accepting new patients | |
| Dover Hospice Mo STL Metro, LLC | Past |
Accepting new patients |
Locations
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
5377 Highway N
Cottleville, MO 63304
Phone (314) 648-4038
807 Collins Dr
Festus, MO 63028
Phone (636) 931-4206
1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
12973 Olive Blvd
Saint Louis, MO 63141
Phone (314) 401-6210
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
10010 Kennerly Rd
#3
Saint Louis, MO 63128
Phone (314) 525-1328
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2005023728 | MO | Yes |
| Internal Medicine Physician | 207R00000X | 036.173912 | IL |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339
Other practice location 1
10010 Kennerly Rd
3 Southbridge
Saint Louis, MO 63128-2106
Phone (314) 525-1328
Other providers in Saint Louis, MO
- Cynthia Ann Gibbs
- Kelli Ann Gibbs
- Molly Annora Gibbs
- Sara Anne Gibbs
- Sean Gibbs
- Joseph Timothy Gibian
- Caitlin Marie Gibson
- Cammy Gibson
- Carla M Gibson
- Charmin Meyatta Gibson
All providers in Saint Louis, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.