NPIMap

Individual provider Active NPI

Matthew Benjamin Meyer, D.O.

  • Family Medicine Physician
  • Saint Peters, MO
National Provider Identifier
1396954293
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008006958 Issued in MO
Practice address
107 Piper Hill Dr
Suite 140
Saint Peters, MO 63376-1651
Phone
(636) 939-0648
Fax
(636) 477-4914
NPI assigned
May 21, 2007
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58.001957 OH
Family Medicine Physician 207Q00000X 2008006958 MO Primary

Addresses

Primary practice location

107 Piper Hill Dr
Suite 140
Saint Peters, MO 63376-1651

Mailing address

107 Piper Hill Dr
Suite 140
Saint Peters, MO 63376-1651
Phone (636) 939-0648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080906000176 MO Practitioner - Family Practice 7416023981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

107 Piper Hill Dr
Suite 140
Saint Peters, MO 63376-1651
Phone (636) 477-8028

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
58.001957OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Family Medicine CurrentSince Jul 21, 2008 Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Jul 21, 2008 Accepting new patients

Locations

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

107 Piper Hill Dr
Ste 100
Saint Peters, MO 63376
Phone (636) 477-8757

107 Piper Hill Dr
Ste 140
Saint Peters, MO 63376
Phone (636) 447-1827

Interoperability endpoints

  • Direct secure messaging: mmeyer8192@directc.mercy.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1396954293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PIPER HILL DR",
            "address_2": "SUITE 140",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761651",
            "telephone_number": "636-939-0648",
            "fax_number": "636-477-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PIPER HILL DR",
            "address_2": "SUITE 140",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761651",
            "telephone_number": "636-939-0648",
            "fax_number": "636-477-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MATTHEW",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.001957",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008006958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.