DR. BENJAMIN MATTHEW ZMISTOWSKI MD
NPI 1265850309
Orthopaedic Surgery in Saint Louis, MO
About Dr. Benjamin Matthew Zmistowski Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN MATTHEW ZMISTOWSKI MD (NPI 1265850309) is an individual orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (2019008253) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Sparta Community Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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. Benjamin Matthew Zmistowski 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sparta Community Hospital
Critical Access Hospitals · Sparta, ILBarnes Jewish Hospital
Acute Care Hospitals · Saint Louis, MOBarnes-Jewish West County Hospital
Acute Care Hospitals · Creve Coeur, MOProgress West Hospital
Acute Care Hospitals · O Fallon, MOMissouri Baptist Sullivan Hospital
Critical Access Hospitals · Sullivan, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Benjamin Zmistowski's NPI number?
The NPI number for Benjamin Zmistowski is 1265850309. It was assigned to this individual provider in the NPPES registry on April 5, 2014.
Where is Benjamin Zmistowski located?
Benjamin Zmistowski practices at 4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110. The listed phone number is (314) 514-3500.
What is Benjamin Zmistowski's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Benjamin Zmistowski enrolled in Medicare?
Yes. Benjamin Zmistowski 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.
What insurance does Benjamin Zmistowski accept?
Health plans from Cox HealthPlans list Benjamin Zmistowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Benjamin Zmistowski affiliated with any hospitals?
According to CMS data, Benjamin Zmistowski is affiliated with Sparta Community Hospital, Barnes Jewish Hospital, Barnes-Jewish West County Hospital, Progress West Hospital and Missouri Baptist Sullivan Hospital.
When was this NPI record last updated?
The NPPES record for Benjamin Zmistowski 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 16 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.
# Dr. Benjamin Matthew Zmistowski, MD · NPI 1265850309
Orthopaedic Surgery physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 5, 2014.
## Identity
- **NPI:** 1265850309 (Entity type: Individual)
- **Enumerated:** April 5, 2014
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 2019008253 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A, Saint Louis, MO 63110-1032
- **Phone:** (314) 514-3500 · **Fax:** (314) 878-7678
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2014
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 200070502 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1265850309) · Data from the CMS NPPES public registry.