MATTHEW J TIEFENBRUNN (M.D.) – Family Medicine Physician, NPI 1457393712
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
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Provider Addresses for MATTHEW J TIEFENBRUNN (M.D.)
10, South Service Road West, Sullivan, Franklin County, Missouri, 63080, United States
SULLIVAN, MO 630802306
Phone: (573) 468-4455
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 223 Open Payments records for all available years, with a total value of $39,587.
Total Amount is formed as General ($39,587) + Research ($0) + Ownership ($0) = $39,587.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Amgen Inc. ($36,723).
Total Amount
$39,587
General + Research + Ownership
Payments
223
Total payment records
General Amount
$39,587
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $36,723 |
| ABBVIE INC. | $1,191 |
| Lilly USA, LLC | $221 |
| Bayer Healthcare Pharmaceuticals Inc. | $102 |
| Novartis Pharmaceuticals Corporation | $83 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100508000009 | I | Family Practice | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 206 | 143 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 124 | 12 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 121 | 121 | $0 |
| G0008 | Administration of influenza virus vaccine | 44 | 44 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 40 | 40 | $0 |
Insurance plans in this area (ZIP 63080)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| - | NY | |
| Nurse Practitioner | MI | |
| Family Practice | TX | |
| Physician Assistant | NC | |
| Internal Medicine, Geriatric Medicine | NC | |
| Qualified Speech Language Pathologist | OK | |
| Occupational Therapist In Private Practice | NC | |
| Internal Medicine | NC | |
| Internal Medicine | NC |
Reviews
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