Doctor profile · Federal record

Dr. MATTHEW TIESKOETTER, APRN

Adult Health Nurse Practitioner (CMS: NURSE PRACTITIONER) · BRIDGETON, MO

  • NPI 1508482506
  • Accepts Medicare
  • 8 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
12349 DE PAUL DR STE 100
BRIDGETON, MO 630442512
(314) 291-7900
Additional location
333 S Kirkwood Rd Ste 203
Saint Louis, MO 631226161
(314) 909-1666
Mailing address
PO BOX 955534
SAINT LOUIS, MO 631955534

Credentials & registration

NPPES · NUCC
NPI registered
June 2020 — 6 yrs on file
Profile last updated
October 17, 2022
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
363LA2200X — NUCC code
State license (1)
Missouri #2020003584

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1508482506. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
800
Distinct HCPCS
9
Medicare allowed
$38,229
HCPCS Description Services Patients Avg allowed
73562 X-ray of knee, 3 views 270 189 $8
20610 Aspiration and/or injection of fluid from large joint 244 178 $43
27447 Replacement of knee joint, both sides of knee 80 79 $169
99213 Established patient office or other outpatient visit, 20-29 minutes 52 51 $55
99212 Established patient office or other outpatient visit, 10-19 minutes 46 44 $25
99214 Established patient office or other outpatient visit, 30-39 minutes 44 43 $81
99203 New patient office or other outpatient visit, 30-44 minutes 25 25 $69
99202 New patient office or other outpatient visit, 15-29 minutes 21 21 $40
99204 New patient office or other outpatient visit, 45-59 minutes 18 18 $110

In context: peer comparison

Among 4 peers in this city , average services per provider: 140. This provider delivers 5.7× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
254
Patients
129
Total drug cost
$3,593
Drug Type Claims Patients Total cost
Celecoxib Generic 131 57 $3,038
Meloxicam Generic 93 44 $371
Cephalexin Generic 19 17 $147
Clindamycin Hcl Generic 11 11 $38

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 21, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›