Jerry R Meyers, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

30764 Issued in MO

Practice address

4201 S Cloverleaf Dr
St Peters, MO 63376-6438

Phone

(636) 929-4390

Fax

(636) 928-1242

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Goforth Health Center, LLC

  • Health Service Clinic/Center
  • Osage Beach, MO
  • NPI 1114347705
  NPD (past)
• Pain Relief Associates LLC

  • Physical Therapy Clinic/Center
  • Saint Charles, MO
  • NPI 1457521189
  NPD (past)
• Podiatry Associates Inc

  • Foot & Ankle Surgery Podiatrist
  • Saint Peters, MO
  • NPI 1316089469
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679575161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14791 THORNBIRD MANOR PKWY",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172496",
            "telephone_number": "636-532-6585",
            "fax_number": "636-532-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S CLOVERLEAF DR",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633766438",
            "telephone_number": "636-929-4390",
            "fax_number": "636-928-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "JERRY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "30764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Metz
• Abbey Michelle Meyer, FNP-C
• Matthew Benjamin Meyer, D.O.
• Molly Meyer
• Renee Meyer, DPT
• Michael T. Heiland D.D.S., P.C.
• Michele Roberts, LLC
• Mid Rivers Ambulatory Surgery Center LP
• Mid-Mo O&P LLC
• Midwest ENT Centre, PC

• All providers in St Peters, MO
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.