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DR. DZMITRY MATSIUKEVICH MD
NPI 1063790269
Pediatrics - Pediatric Critical Care Medicine in Saint Louis, MO

Active since July 22, 2011PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1 CHILDRENS PL, DIV PED CRITICAL CARE MED, SAINT LOUIS, MO 63110(314) 454-2527(314) 747-8880 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 22, 2023 and 4 more (7 updates tracked since 2019).

About Dr. Dzmitry Matsiukevich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DZMITRY MATSIUKEVICH MD (NPI 1063790269) is an individual pediatric critical care medicine provider in Saint Louis, Missouri, licensed in Missouri (2019024454) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063790269
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. DZMITRY MATSIUKEVICHCredential: MD
Location Address1 CHILDRENS PL, DIV PED CRITICAL CARE MEDSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-2527 · Fax (314) 747-8880
Phone(314) 454-2527
Fax(314) 747-8880
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 22, 2011
Last NPPES UpdateApril 17, 20257 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1063790269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MO · 2019024454
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 2019024454 (MO)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 2019024454 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid200072068MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dzmitry Matsiukevich Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244466266
PECOS Enrollment IDI20190729001322
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIE BAKER MSW, LCSW
Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
St. Louis City (314) 747-6169
HANNAH EDELMAN MD, PHD
Psychiatry & Neurology (Neurology)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
SUSAN CHEUNG WALSH AUD
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-4649
MS. JENNIFER MARIE JACOBI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
MS. EMILY LINCOLN RN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6000
MS. MARISSA ROSE PEREZ-MAGNELLI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
DR. WILLIAM L RIVES MD
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2076
DR. PETER M KILBRIDGE MD
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dzmitry Matsiukevich's NPI number?

The NPI number for Dzmitry Matsiukevich is 1063790269. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Dzmitry Matsiukevich located?

Dzmitry Matsiukevich practices at 1 Childrens Pl Div Ped Critical Care Med, Saint Louis, MO 63110. The listed phone number is (314) 454-2527.

What is Dzmitry Matsiukevich's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Dzmitry Matsiukevich enrolled in Medicare?

Yes. Dzmitry Matsiukevich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dzmitry Matsiukevich was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.