2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1184184525 DO
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Zachary Fletcher, DO

Student in an Organized Health Care Education/Training Program in Festus, Missouri. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 331,761 in Student in an Organized Health Care Education/Training Program, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
3K
Medicare Part D claims · 364 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$925.03
47 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Zachary Fletcher, DO filed 3,073 Medicare Part D claims in 2023 as a Student in an Organized Health Care Education/Training Program in Festus, Missouri, prescribing 85% generic.

3K
Part D claims, 2023
85%
generic prescribing
$925.03
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Zachary Fletcher, DO's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

3,073 Top 11% higher than 89% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Zachary Fletcher, DO?

Quality data not reported

NPI registry status

Active

Issued 03/21/2019

NPI 1184184525

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

3,073 vs specialty avg

2023 prescription claims

Specialty avg: 459

Specialty distribution in Missouri

How Student in an Organized Health Care Education/Training Program compares to other specialties among Missouri providers

Missouri providers

Largest specialties in Missouri (% of in-state providers)

Pharmacist — 4.8%Pharmacist4.8%Professional Counselor — 4.8%Professional Counselor4.8%Speech-Language Pathologist — 4.5%Speech-Language Pathologist4.5%Clinical Social Worker — 4.5%Clinical Social Worker4.5%Family Nurse Practitioner — 4.3%Family Nurse Practitioner4.3%Physical Therapist — 4%Physical Therapist4%Student in an Organized Health Care Education/Training Program — 3.7%Student in an Organized Health Care Education/Training Program3.7%
Largest specialties in Missouri (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Student in an Organized Health Care Education/Training Program (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Student in an Organized Health Care Education/Training Program ABMS/AOA estimate

Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Zachary Fletcher, DO appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding DO credentials at 1390 US HIGHWAY 61 STE N-1000, Festus, MO, 63028, with a listed phone of (636) 933-9300. NPI 1184184525 was issued on 03/21/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Fletcher most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,073 prescription claims written by this provider, covering 364 Medicare beneficiaries and totaling roughly $273K in drug spend, split 14% brand-name and 85% generic by claim count, with an opioid prescribing rate of 5.1%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1390 US HIGHWAY 61 STE N-1000
Festus, MO 63028

Provider Details

NPI 1184184525
Specialty Student in an Organized Health Care Education/Training Program
Credentials DO
Gender Male
NPI Issued 03/21/2019

Hospital and facility affiliations

Facilities where Zachary Fletcher, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Phelps County Regional Medical Center
★★☆☆☆ 2/5
Rolla, MO
Acute Care Hospitals
CMS CCN: 260017
Mercy Clinic Adult Hospitalists Jefferson LLC
Festus, MO
Pcrmc Medical Group Inc
Rolla, MO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Zachary Fletcher, DO. Source: openpaymentsdata.cms.gov.

Total received

$925

Largest payer

Lilly USA, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

Zachary Fletcher, DO — brand share 14.0%
Student in an Organized Health Care Education/Training Program average

14% brand-name claims vs 85% generic, on 3,073 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,073
Total Claims
$273K
Total Drug Cost
364
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,765
Total Day Supply
164,437
Brand vs Generic
14% brand / 85% generic
Brand Drug Cost
$225K
Generic Drug Cost
$47K
Opioid Claims
157 (5.1% rate)
Antibiotic Claims
48

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.81
Gender Split
53% female / 47% male
Age Distribution
<65: 85, 65-74: 164, 75-84: 93, 85+: 22

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Zachary Fletcher, DO prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
174
Gabapentin
103
Levothyroxine Sodium
86
Lisinopril
85
Furosemide
77
Omeprazole
76
Rosuvastatin Calcium
74
Pantoprazole Sodium
68
Trazodone Hcl
66
Amlodipine Besylate
65

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Student in an Organized Health Care Education/Training Program Overview

How Zachary Fletcher, DO fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

Zachary Fletcher, DO's 3,073 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Fletcher.

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Missouri medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Zachary Fletcher, DO's specialty?
Zachary Fletcher, DO specializes in Student in an Organized Health Care Education/Training Program and practices in Festus, Missouri. Credentials: DO.
How much does Zachary Fletcher, DO prescribe under Medicare Part D?
In 2023, Zachary Fletcher, DO wrote 3,073 Medicare Part D claims totaling $273K in drug costs for 364 beneficiaries.
Where is Zachary Fletcher, DO located?
Zachary Fletcher, DO is located at 1390 US HIGHWAY 61 STE N-1000, Festus, MO, 63028. Phone: (636) 933-9300.
What is Zachary Fletcher, DO's NPI number?
Zachary Fletcher, DO's National Provider Identifier (NPI) is 1184184525, issued on 03/21/2019.
Does Zachary Fletcher, DO prescribe more brand-name or generic drugs?
Zachary Fletcher, DO's prescribing is 14% brand-name and 85% generic drugs by claim count, with $225K in brand drug costs.
Does Zachary Fletcher, DO prescribe opioids?
Yes, Zachary Fletcher, DO had 157 opioid claims in 2023 with an opioid prescribing rate of 5.1%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Zachary Fletcher, DO prescribe most often?
Based on 2023 Medicare Part D data, Zachary Fletcher, DO's most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Zachary Fletcher, DO accept Medicare?
Zachary Fletcher, DO appears in CMS Medicare data with 3,073 Part D claims and 364 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Zachary Fletcher, DO's credentials?
Zachary Fletcher, DO's NPI is 1184184525 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.