Thomas A Tyree, M.D.

Internal Medicine

(636) 498-5850Saint Charles, MO
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

With over 38 years in internal medicine, Thomas a Tyree, M.D. is a long-established internist in Saint Charles. He graduated from St. Louis College of Physicians and Surgeons in 1988 and has 38+ years of clinical experience. He regularly sees Medicare patients with hypertension, high cholesterol, and arthritis (per CMS claims data).

At a glance

  • Prescribes opioids less than 21% of reporting doctors in Missouri
  • Uses generic medications more than 70% of reporting doctors in Missouri
  • Virtual visits available — no app or travel required
1 of 239 Internal Medicine providers in MOSee all Internal Medicine in Saint Charles38+ years experienceNPI since 2006

Older · 1997dNPPES updated 2020-11-16 · verify on CMS

Contact & Location

Practice Location

1475 Kisker Rd Suite 200, Saint Charles, MO 63304-8781

Fax: (636) 669-2401
CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor prescribes opioid pain medications conservatively, favors affordable generic drugs over brand-name ones.

Opioid Rx

↓ Lower = better

4.53%

Missouri avg: 4.4 · US avg: 5.1

Higher than most doctors nationally(-0.6 pts)

4.53% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.

Generic Rx

↑ Higher = better

90.6%

Missouri avg: 83.4 · US avg: 82.8

Higher than most doctors nationally(+7.8 pts)

Better than 70% of reporting doctors in Missouri

How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.

Medicare Patients

323

Unique beneficiaries

Standard volume

Prescription Recipients

1,049

Patients prescribed

Prescriptions Written

13,234

Total claims

Total Medicare drug cost: $805k

Percentile rankings compared against 912 reporting peers in Missouri.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Arthritis.

Hypertension
Higher than avg (+5%)75%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↑ More patients than average (+5%) — a focus area for this doctor

High Cholesterol
Higher than avg (+5%)75%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↑ More patients than average (+5%) — a focus area for this doctor

Arthritis
Lower than avg (-8%)41%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↓ Fewer patients than average (-8%) — less common here

Diabetes
Lower than avg (-5%)29%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%

↓ Fewer patients than average (-5%) — less common here

Chronic Kidney Disease
Lower than avg (-1%)29%

Gradual loss of kidney function over time, often linked to diabetes or hypertension

US avg: 29.6%

↓ Fewer patients than average (-1%) — less common here

Ischemic Heart Disease
Lower than avg (-4%)28%

Reduced blood flow to the heart muscle, commonly known as coronary artery disease

US avg: 31.7%

↓ Fewer patients than average (-4%) — less common here

Anxiety Disorders
Lower than avg (-14%)20%

Excessive worry or fear that interferes with daily life

US avg: 34.1%

↓ Fewer patients than average (-14%) — less common here

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$439 received from industry

4 transactions reported in 2024 ·Low tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Thomas a Tyree's NPI.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 1988

    St. Louis College of Physicians and Surgeons

  2. Board certified · Nov 15, 2020

    CMS-verified certification date

  3. 38 years in practice

    Senior practitioner

Internal MedicineAllopathic & Osteopathic Physicians

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Taxonomy: 207R00000X

Education & Training

St. Louis College of Physicians and Surgeons (Class of 1988)

Practice Footprint

Mailing address

Po Box 955534, Saint Louis, MO 63195-0001

Differs from practice location

Virtual Internal Medicine Care With Thomas a Tyree

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Thomas a Tyree for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to Saint Charles required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Thomas a Tyree

NPI records show Dr. Tyree as active with telehealth listed in Saint Charles, MO. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (636) 498-5850.

Verified across 5 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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