Benjamin Matthew Zmistowski, MD
Orthopaedic Surgery Physician · Saint Louis, MO
Benjamin Matthew Zmistowski, MD is an orthopaedic surgery physician with a practice address in Saint Louis, Missouri, and NPI 1265850309, issued on Apr 5, 2014. Check the license (Missouri 2019008253, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; the Medicare figures below come from public CMS files.
- Name
- Benjamin Matthew Zmistowski
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 2019008253 MO
Self-reported in NPPES; status is on the state search - Practice location
- 4921 Parkview PL, Saint Louis, MO 63110
- Phone
- (314) 514-3500
- Enumerated
- Apr 5, 2014
- Record last updated
- Apr 17, 2025
- Fax
- (314) 878-7678
- Medicaid ID
- 200070502 MO
- Medicare enrollment
- Enrolled (PECOS I20190827001531); accepts Medicare assignment
- Medical or professional school
- Jefferson Medical College Of Thomas Jefferson University, 2014
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 514 in Missouri → Look up another NPI →
Also registered at 4921 Parkview PL
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mohammed Abbasi, MDPulmonary Disease Physician1497097083
- Helen Adams, AGNPGerontology Nurse Practitioner1730836776
- Muyibat Adelani, MDAdult Reconstructive Orthopaedic Surgery Physician1396908042
- Foluso Ademuyiwa, MDMedical Oncology Physician1083875538
- Syed Adil, MDAdult Reconstructive Orthopaedic Surgery Physician1467942953
- Homaa Ahmad, MDCardiovascular Disease Physician1477635092
Verify Benjamin Matthew Zmistowski in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
Search for license 2019008253Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
31% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
239 Medicare Part D claims for 136 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 92 claims were for opioids.
Most prescribed
- Oxycodone Hcl52 claims
- Amoxicillin33 claims
- Naproxen30 claims
- Methylprednisolone27 claims
- Tramadol Hcl25 claims
- Hydrocodone-Acetaminophen13 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 79.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $33,549.85
66 payments; by number, the most common kind was consulting fee; the largest payer was Zimmer Biomet Holdings, Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 3 group practices
- Health Facilities Rehab Services IncSikeston, MO
- Physical Therapy Spine And Sports Medicine LLCBallwin, MO
- Washington UniversitySaint Louis, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Benjamin Matthew Zmistowski among 514 orthopaedic surgery physician records in Missouri
Benjamin Matthew Zmistowski, MD is one of 514 orthopaedic surgery physician records with a practice address in Missouri. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 71% of them.
- NPI issued2014 · 71% of these records are older, 26% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2014 · median 2006 among the 302 with a school on file
- Record last updated2025 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in Missouri
There are 514 orthopaedic surgery physician records in Missouri.
All 514 in Missouri → Every provider in Saint Louis → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- R Stephen Burnett, MDSaint Louis, MO 631101144246364
- Thomas Debartolo, MDSt Louis, MO 631101871504472
- Kathryn Fischer, PASaint Louis, MO 631101528381647
- David Greenberg, MDSaint Louis, MO 631101881700607
- Pooya Hosseinzadeh, MDSaint Louis, MO 631101437363660
- David Karges, DOSaint Louis, MO 631101326060021
- Jay Keener, MDSaint Louis, MO 631101689692642
- Jeffrey Martin, MDSaint Louis, MO 631101740273796
Common questions
What is Benjamin Matthew Zmistowski, MD's NPI number?
Benjamin Matthew Zmistowski, MD's National Provider Identifier (NPI) is 1265850309, issued on Apr 5, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Benjamin Matthew Zmistowski, MD located?
The NPPES record lists a practice address at 4921 Parkview PL, Saint Louis, MO, 63110. Phone: (314) 514-3500. Providers update this record themselves, so call before visiting.
How can I verify Benjamin Matthew Zmistowski, MD's license?
NPPES lists Missouri license number 2019008253, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Benjamin Matthew Zmistowski, MD prescribe under Medicare Part D?
In 2024, Benjamin Matthew Zmistowski, MD had 239 Medicare Part D claims for 136 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Benjamin Matthew Zmistowski, MD's MIPS final score?
The 2023 MIPS final score is 79.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.