Dr. Matthew F. Bialko
- Gender: Male
- Sole propriator: No
- NPI: 1124551403
Dr. Matthew F. Bialko M.D., M.P.H.
Resident
He is located at 6420 Clayton Road in Saint Louis, MO 63117. His National Provider Identifier (NPI) number is 1124551403. Appointment can be made via the phone number (314) 781-4772. He is affiliated with 1 practices.
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Matthew F. Bialko as in-network for the following 2026 plans.
Health plans
Ambetter Health
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 16 plans from Ambetter Health
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete Gold | EPO · Gold | Preferred | Accepting new patients |
| Complete Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Complete Silver | EPO · Silver | Preferred | Accepting new patients |
| Complete Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Elite Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Bronze + Vision + Adult Dental | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze + Vision + Adult Dental | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Gold | EPO · Gold | Preferred | Accepting new patients |
| Everyday Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Standard Expanded Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze + Vision + Adult Dental | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Gold | EPO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Standard Silver | EPO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
Anthem Blue Cross and Blue Shield
Network data as of Mar 26, 2026, as reported by the insurer.
Show all 10 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Catastrophic Pathway (+ Incentives) | EPO · Catastrophic | Participating | Accepting new patients |
| Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Silver | Participating | Accepting new patients |
Medica
Network data as of Aug 13, 2026, as reported by the insurer.
Show all 9 plans from Medica
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Medica with SSM Health Bronze $0 Copay PCP Visits | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Medica with SSM Health Bronze Share | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Medica with SSM Health Expanded Bronze Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Medica with SSM Health Gold $0 Copay PCP Visits | EPO · Gold | Preferred | Accepting new patients |
| Medica with SSM Health Gold Share | EPO · Gold | Preferred | Accepting new patients |
| Medica with SSM Health Gold Standard | EPO · Gold | Preferred | Accepting new patients |
| Medica with SSM Health Silver $0 Copay PCP Visits | EPO · Silver | Preferred | Accepting new patients |
| Medica with SSM Health Silver Share | EPO · Silver | Preferred | Accepting new patients |
| Medica with SSM Health Silver Standard | EPO · Silver | Preferred | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 11 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic 4700 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Classic Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic Standard | EPO · Gold | Preferred | Accepting new patients |
| Gold Simple | EPO · Gold | Preferred | Accepting new patients |
| Silver Classic Standard | EPO · Silver | Preferred | Accepting new patients |
| Silver Elite Saver Plus | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits | EPO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 13 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential (No Referrals) | EPO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard+ (Dental + Vision, No Referrals) | EPO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | EPO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard+ (Dental + Vision, No Referrals) | EPO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Matthew F. Bialko is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Matthew F. Bialko is enrolled to bill Medicare as a Practitioner - Obstetrics/gynecology .
Bills through: Obstetrical Associates Of St Lukes Llc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Merck | $11 |
Other
| Food and Beverage | $12 |
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Questions & Answers
Where can you meet with Dr. Matthew Francis Bialko?
Dr. Matthew Francis Bialko's office is located at 6420 Clayton Road in Saint Louis, MO 63117.
Does Dr. Matthew Francis Bialko have affiliation with practices?
Dr. Matthew Francis Bialko is affiliated with SSM Health St. Mary's Hospital of St. Louis.
Does Dr. Matthew Francis Bialko accept insurance?
Dr. Matthew Francis Bialko is listed in-network for 59 ACA Marketplace (Obamacare/HealthCare.gov) plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company, UnitedHealthcare. See the Marketplace plans section for details.