Doctor profile · Federal record

Dr. Zachary Fletcher, DO

Internal Medicine Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Festus, MO

  • NPI 1184184525
  • Accepts Medicare
  • 7 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
1390 US Highway 61 Ste N-1000
Festus, MO 630284136
(636) 933-9300
Additional location
1000 W 10Th St
Rolla, MO 654012905
(573) 364-9000
fax (573) 426-2108
Additional location
1400 US Highway 61
Festus, MO 630284100
(636) 933-5337

Credentials & registration

NPPES · NUCC
NPI registered
March 2019 — 7 yrs on file
Profile last updated
July 10, 2025
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Missouri #2022027985

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1184184525. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
317
Distinct HCPCS
9
Medicare allowed
$41,058
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 95 61 $123
99204 New patient office or other outpatient visit, 45-59 minutes 68 68 $160
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 48 46 $127
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 22 22 $125
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 19 14 $77
G0008 Administration of influenza virus vaccine 19 19 $30
90662 Influenza vaccine split virus, preservative free 17 17 $72
99215 Established patient office or other outpatient visit, 40-54 minutes 15 12 $174
99496 Transitional care management services for problem of high complexity 14 13 $268

In context: peer comparison

Among 8 peers in this city , average services per provider: 104. This provider delivers 3.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$925
Transactions
39
Manufacturers
15
Payer (manufacturer) Industry Txns Amount
Lilly USA, LLC 7 $150.04
AstraZeneca Pharmaceuticals LP 7 $146.25
ABBVIE INC. 3 $88.34
PFIZER INC. 3 $58.11
Novo Nordisk Inc 3 $50.22
GlaxoSmithKline, LLC. 3 $44.68
Amgen Inc. 2 $42.26
Astellas Pharma US Inc 2 $31.31
Edwards Lifesciences Corporation 1 $30.55
E.R. Squibb & Sons, L.L.C. 2 $30.44
Salix Pharmaceuticals, a division of Bausch Health US, LLC 2 $28.32
Takeda Pharmaceuticals U.S.A., Inc. 1 $23.65
Exact Sciences Corporation 1 $21.87
GENZYME CORPORATION 1 $20.83
Dexcom, Inc. 1 $20.39

By nature of payment

Food and Beverage
$925

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,163
Patients
436
Total drug cost
$14,953
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 174 66 $2,684
Gabapentin Generic 103 33 $2,109
Levothyroxine Sodium Generic 86 32 $954
Lisinopril Generic 85 34 $872
Furosemide Generic 77 25 $360
Omeprazole Generic 76 33 $1,145
Rosuvastatin Calcium Generic 74 19 $1,250
Pantoprazole Sodium Generic 68 23 $1,013
Trazodone Hcl Generic 66 20 $574
Amlodipine Besylate Generic 65 34 $428

Frequently asked questions

Auto-generated from federal data
What is Dr. Zachary Fletcher's medical specialty?
Dr. Zachary Fletcher practices Internal Medicine Physician in Festus, MO.
Where does Dr. Zachary Fletcher practice?
Dr. Zachary Fletcher practices at 1390 US Highway 61 Ste N-1000, Festus, MO 630284136. Office phone: 6369339300.
What is Dr. Zachary Fletcher's NPI?
Dr. Zachary Fletcher's National Provider Identifier (NPI) is 1184184525, issued by NPPES.
Does Dr. Zachary Fletcher accept Medicare assignment?
Yes. Dr. Zachary Fletcher accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Zachary Fletcher commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.