Doctor profile · Federal record

Dr. Kyle Karches, M.D.

Internal Medicine Physician (CMS: Internal Medicine) · Internal Medicine Physician · Saint Louis, MO

  • NPI 1649533845
  • Accepts Medicare
  • MIPS 79.1 / 100 · 2023
  • 14 yrs in practice
  • Licensed in 2 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3635 Vista Ave
Saint Louis, MO 631102539
(314) 577-8000

Credentials & registration

NPPES · NUCC
NPI registered
June 2012 — 14 yrs on file
Profile last updated
July 8, 2015
Year of graduation
2012 — 14 yrs since
Specialty taxonomy
207R00000X — NUCC code
State licenses (2)
Missouri #2015013976 · Illinois #125061423

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1649533845. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
157
Distinct HCPCS
6
Medicare allowed
$16,768
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 44 38 $96
99214 Established patient office or other outpatient visit, 30-39 minutes 27 26 $126
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 25 25 $127
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 24 24 $127
99213 Established patient office or other outpatient visit, 20-29 minutes 23 23 $89
99213 Established patient office or other outpatient visit, 20-29 minutes 14 14 $65

In context: peer comparison

Among 216 peers in this city , average services per provider: 171. This provider delivers 0.9× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,205
Patients
337
Total drug cost
$168,232
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 180 59 $2,297
Amlodipine Besylate Generic 171 51 $1,079
Gabapentin Generic 90 24 $2,094
Levothyroxine Sodium Generic 87 18 $1,063
Tamsulosin Hcl Generic 86 26 $2,315
Metformin Hcl Er (Metformin Hcl) Brand 75 24 $923
Lisinopril Generic 70 25 $394
Trulicity (Dulaglutide) Brand 69 13 $82,971
Fluticasone Propionate Generic 57 20 $1,093
Metoprolol Succinate Generic 56 14 $1,014

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Kyle Karches's medical specialty?
Dr. Kyle Karches practices Internal Medicine Physician in Saint Louis, MO.
Where does Dr. Kyle Karches practice?
Dr. Kyle Karches practices at 3635 Vista Ave, Saint Louis, MO 631102539. Office phone: 3145778000.
What is Dr. Kyle Karches's NPI?
Dr. Kyle Karches's National Provider Identifier (NPI) is 1649533845, issued by NPPES.
Does Dr. Kyle Karches accept Medicare assignment?
Yes. Dr. Kyle Karches accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kyle Karches commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.