Doctor profile · Federal record
Dr. Benjamin Zmistowski, MD
Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · Saint Louis, MO
- NPI 1265850309
- Accepts Medicare
- MIPS 79.3 / 100 · 2023
- 12 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6A/6B/12A
Saint Louis, MO 631101032
(314) 514-3500
fax (314) 878-7678 - Mailing address
-
Po Box 7412011
Chicago, IL 606742011
Credentials & registration
- NPI registered
- April 2014 — 12 yrs on file
- Profile last updated
- April 17, 2025
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 207X00000X — NUCC code
- State license (1)
- Missouri #2019008253
- Medicaid
- MO #200070502
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265850309. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,489
Distinct HCPCS
10
Medicare allowed
$195,684
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 532 | 73 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 451 | 307 | $88 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 111 | 109 | $126 | |
20610 |
Aspiration and/or injection of fluid from large joint | 80 | 70 | $65 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 72 | 72 | $111 | |
23472 |
Prosthetic repair of shoulder joint, total shoulder | 67 | 65 | $1,419 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 50 | 50 | $165 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 48 | 45 | $55 | |
99441 |
Telephone medical discussion with physician, 5-10 minutes | 42 | 41 | $51 | |
29826 |
Shaving of part of shoulder bone and repair of ligament using an endoscope | 13 | 13 | $170 |
In context: peer comparison
Among 31 peers in Saint Louis Orthopaedic Surgery Physician, average services per provider: 110. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$33,550
Transactions
66
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimmer Biomet Holdings, INC. | 57 | $33,020.91 | |
| Stryker Corporation | 7 | $494.04 | |
| Elite Orthopedics, LLC | 2 | $34.90 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
162
Patients
113
Total drug cost
$1,048
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 67 | 43 | $478 |
| Amoxicillin | Generic | 30 | 23 | $38 |
| Naproxen | Generic | 26 | 21 | $92 |
| Ondansetron Odt (Ondansetron) | Brand | 14 | 14 | $143 |
| Methylprednisolone | Generic | 13 | 12 | $135 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 12 | 0 | $162 |
Hospital affiliations
Frequently asked questions
What is Dr. Benjamin Zmistowski's medical specialty?
Dr. Benjamin Zmistowski practices Orthopaedic Surgery Physician in Saint Louis, MO.
Where does Dr. Benjamin Zmistowski practice?
Dr. Benjamin Zmistowski practices at 4921 Parkview Pl, Saint Louis, MO 631101032. Office phone: 3145143500.
What is Dr. Benjamin Zmistowski's NPI?
Dr. Benjamin Zmistowski's National Provider Identifier (NPI) is 1265850309, issued by NPPES.
Does Dr. Benjamin Zmistowski accept Medicare assignment?
Yes. Dr. Benjamin Zmistowski accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Benjamin Zmistowski commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.