Zachary Fletcher, DO
NPI 1184184525ActiveIndividual· Internal Medicine· Festus, MO
Internal Medicine (DO) in Festus, Missouri, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 2019). Their prescriptions cost Medicare Part D more than their services did: $448,948 for 4,441 claims, against $29,489 paid for services in 2024. Intuitive Surgical, Inc. was the largest of 4 companies reporting payments in 2025, $230.69 in all, mostly food and beverage.
Overview
| NPI | 1184184525 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 21, 2019 |
| Last updated in NPPES | Jul 10, 2025 |
| Certified by provider | Jul 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 2022027985 | MO |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 205 |
|---|---|
| Services billed | 386 across 29 procedure codes |
| Paid by Medicare | $29,489 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,441 · 8,895 30-day fills |
|---|---|
| Patients | 468 |
| Total drug cost | $448,948 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | At Still University of Health Sciences, College of Osteo Med, Kirksville |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Internal Medicine |
Medical groups
- Pcrmc Medical Group IncWaynesville, MO · 120 clinicians
- Phelps County Regional Medical CenterRolla, MO · 116 clinicians
Hospital affiliations
- Barnes Jewish HospitalSaint Louis, MO
- Phelps County Regional Medical CenterRolla, MO
- Salem Memorial District HospitalSalem, MO
- Texas County Memorial HospitalHouston, MO
Other facilities
- Phelps HealthNursing home · Rolla, MO
Industry payments (Open Payments)
- 2025$230.69 · 6 payments from 4 companies
- 2024$953.53 · 53 payments from 24 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $135.00 | 1 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $35.39 | 2 |
| Amgen Inc. | $31.40 | 2 |
| Novartis Pharmaceuticals Corporation | $28.90 | 1 |
What the 2025 payments were for
- Food and Beverage$230.69 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 internal medicine physicians in Festus · All internal medicine physicians in Missouri