Individual provider Active NPI

Matthew Anthony Pliske, PA-C

  • Physician Assistant
  • Saint Peters, MO
National Provider Identifier
1780015701
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2013045003 Issued in MO
Practice address
112 Piper Hill Dr
Suite 9
Saint Peters, MO 63376-1690
Phone
(636) 441-3444
NPI assigned
Dec 1, 2013
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2013045003 MO Primary

Addresses

Primary practice location

112 Piper Hill Dr
Suite 9
Saint Peters, MO 63376-1690

Mailing address

1621 Bentshire CT
Ellisville, MO 63011-4754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212001578 MO Practitioner - Physician Assistant 5799914859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4701 State Hwy K
O Fallon, MO 63368-8692
Phone (636) 441-3444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as group
Quality
96.04
Improvement activities
40
Cost
89.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Peters Bone & Joint Surgery Inc. CurrentSince Dec 18, 2013 Accepting new patients

Locations

4701 Highway K
O Fallon, MO 63368
Phone (636) 441-3444

112 Piper Hill Dr
Ste 9
Saint Peters, MO 63376
Phone (636) 229-4245

5200 Executive Centre Pkwy
Ste 300
Saint Peters, MO 63376
Phone (636) 229-4222

378 Shadow Pines Dr
Wentzville, MO 63385
Phone (636) 441-3444

Interoperability endpoints

  • Direct secure messaging: matthew.pliske@abj.directbygreenway.com

Organizations & group practices 3

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 3

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": "1385856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1780015701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 BENTSHIRE CT",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630114754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PIPER HILL DR",
            "address_2": "SUITE 9",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761690",
            "telephone_number": "636-441-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISKE",
        "first_name": "MATTHEW",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-01",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2013045003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.