Dr. Frank Gafford IV, MD

Dr. Frank Gafford IV, MD

Adult Cardiology  ·  
Male  ·  
Age 71
Dr. Frank Gafford IV, MD is an adult cardiology specialist in Saint Louis, MO and has been practicing for 42 years. He graduated from University Of Alabama At Birmingham in 1972 and specializes in adult cardiology, cardiology, and more.Read his story

10004 Kennerly Rd Ste 283B

Saint Louis, MO 63128

Contact Information

(314) 707-8319

Insurance Accepted

  • Aetna
  • Anthem Blue Cross Blue Shield
  • AvMed
  • Blue Cross Blue Shield
  • Blue Cross Blue Shield of Illinois
  • Cigna
  • Coventry Health Care
  • First Health (Coventry Health Care)
  • HealthLink
  • 3 More

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Learn about Dr. Gafford IV

Be confident in your decisions by checking out your provider's top areas of care, education, patient reviews and more. Learn about finding the right doctor for you.

Top Care Areas

See how frequently Dr. Gafford IV performs your care needs compared to other doctors.

Tilt Testing or Cardiac Event Monitors
more than 45% of peers
Coronary Artery Disease (CAD)
more than 45% of peers
Vascular Disease
more than 42% of peers

Dr. Gafford IV's percentages are based on the rate of treatment compared to peers nationwide from insurance data. Learn more info about our data and this Top Care Areas component.

Dr. Gafford IV's bio

This content was provided by Dr. Gafford IV "I was born in Birmingham, Alabama, married my High School sweetheart and we have lived in St. Louis since 1974. We have been blessed with 3 wonderful children and 8 grandchildren (who can do no wrong)! I am a board certified non-invasive cardiologist, a member of the Alpha Omega Alpha medical honorary society, a Fellow of the American College of Cardiology (FACC) and a Fellow of the American College of Chest Physicians (FCCP). I have 32 years of Cardiology practice experience in South St. Louis County, preceded by 9 years practicing Critical Care Medicine. I am in solo practice without a partner, a Nurse Practitioner or a P.A and am the only medical provider in my practice. I am on the Active Medical Staff of St. Anthony's Medical Center | Mercy which is the only hospital where I admit and consult on patients. My practice methodology is straightforward: find (diagnose) your cardiac problem (if there is one), define its severity and then determine with you what treatment options are best for YOU. We will do our best to explain what the problem is, how it affects your heart and your overall health and the rationale of the treatment options. The heart is a couple of pumps, 4 valves, a few pipes (coronary arteries) and an electrical timing system. Most non-medically trained people can understand their cardiac problems reasonably well, which makes them more engaged in their treatment and prevention efforts. It does require time and good communication skills to translate medical jargon and physiology into real-world language and concepts. Our personalized, low volume practice helps provide the time needed. Like all physicians, I emphasize prevention. Many of our patients already have cardiac disease and their prevention strategies are targeted at slowing or reversing disease progression. I will work closely with your primary physician to help you minimize risk factors for development or progression of cardiovascular disease such as hypertension, diabetes, hypercholesterolemia, smoking, sedentary life style, psychological stressors, etc. As a non-invasive cardiologist, I work frequently with invasive and interventional cardiologists, cardiovascular surgeons and cardiac electrophysiologists. These physicians perform life-saving procedures that also have some inherent risks; we will recommend to you and your primary physician, specialists in these procedures that we believe are best suited to treat you and your cardiac problem. We live in an era where appropriate medical care for a given problem or symptom set usually has defined "best practice guidelines"and recommended clinical pathways for diagnosis or treatment, often displayed in algorithmic form. These usually are a good starting point for addressing your care, but due to uniqueness of every patient there may be on occasion a need to deviate from them. Different combinations of illnesses, medications, past history of intolerance to some medications, costs of medications and your personal attitude and philosophy regarding your health all have to be factored in. This requires personalization of care and is the main reason doctors have not yet been replaced by computers; specifically, artificial intelligences. Medical tests are not 100% accurate,so a fuzzy logic approach is needed to deal with a test that is accurate 70% of the time and wrong the other 30%. You can do another test which may be more expensive and/or risky and still be wrong 20% of the time. In order to keep costs down guidelines often will say that a test is not needed, because most the time it isn't, for John or Jane Doe. But you are you and most of us don't want to roll the dice and accept a risk of 20-50% that probably you don't need a test. There is too much unnecessary testing being done, but a universal guideline should be an adjunct to medical decision analysis and not be considered the actual decision in any single case. Quality of care to me is defined by your outcome to treatment, period!"
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Care Philosophy

This content was provided by Dr. Gafford IV "I like patients and love practicing medicine. It is a privilege to be allowed to care for another person's medical needs. Good doctoring requires bringing into the exam room common sense, the ability to visualize the medical problems from the patient's perspective (walk in their shoes as it were) and meticulous analysis and problem solving capability. These skills need to be superimposed on a well-trained, up to date and experienced brain. That brain should be housed in the head of a doctor who cares what happens to the patient, just as if they were family (which many long term patients are). 

When I was a 3rd year medical student, one of my teachers was Dr Tinsley Harrison who literally wrote the book ("Harrison's Principles of Internal Medicine"). We would present challenging patients to him and he was always disappointed if he could not diagnose their problems without laying a hand on them. He said: "Listen, and the patient will tell you what is wrong."

He was right!"

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9  Specialties

  • Adult Cardiology
  • Adult Congenital Heart Disease Cardiology
  • Cardiology
  • Cardiology Echocardiography
  • Clinical Cardiology
  • Internal Medicine
  • Non-Invasive Cardiology
  • Nuclear Cardiology
  • Preventive Cardiology

3  Board Certifications

  • Cardiovascular Disease
    Accredited by: American Board of Internal Medicine*
  • Critical Care Medicine
    Accredited by: American Board of Internal Medicine*
  • Internal Medicine
    Accredited by: American Board of Internal Medicine*

38  Conditions Treated

  • Angina
  • Angina and Acute Coronary Syndrome
  • Aortic Stenosis
  • Aortic Valve Disease
  • Arrhythmias
  • Atrial Fibrillation
  • Atrial Flutter
  • Cardiomyopathy
  • Cardiomyopathy, Dilated, Idiopathic
  • Cardiomyopathy, Hypertrophic
  • Chest Pain
  • Chronic Pulmonary Heart Diseases (incl. Pulmonary Hypertension)
  • Congenital Heart Defects
  • Congestive Heart Failure
  • Coronary Artery Disease (CAD)
  • Heart Attack (Acute Myocardial Infarction)
  • Heart Disease
  • Heart Palpitations
  • Hyperlipidemia
  • Hypertension
  • Hypertensive Heart Disease
  • Hypotension
  • Limb Swelling Caused by Fluid Overload
  • Mitral Valve Disease
  • Mitral Valve Regurgitation
  • Mitral Valve Stenosis
  • Multifocal Premature Beats
  • Orthostatic Hypotension
  • Paroxysmal Supraventricular Tachycardia
  • Pericardial Disease
  • Pulmonary Disease
  • Pulmonary Edema
  • Pulmonary Hypertension
  • Pulmonary Valve Disease
  • Syncope
  • Thrombosis
  • Tricuspid Valve Disease
  • Vascular Disease
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11  Procedures

Background Check

Malpractice Claims not available

Healthgrades does not collect malpractice information for Missouri.

0 Sanctions

No sanctions history found for the years that Healthgrades collects data.

0 Board Actions

No board actions found for the years that Healthgrades collects data.


  • Johns Hopkins University
    Undergraduate School | Graduated 1968
  • University Of Alabama At Birmingham
    Medical School | Graduated 1972
  • University Of California At San Diego
    Internship Hospital | Completed 1973
  • University Of California At San Diego
    Residency Hospital | Completed 1974
  • Cardiology, Barnes Hospital/Washington University
    Fellowship Hospital | Completed 1976
  • Fellow American College Of Cardiology
    Other Education | Completed 1984
  • Fellow American College Of Chest Physicians
    Other Education | Completed 1984

Awards & Recognition

Awards & Honors
  • Healthgrades Honor Roll
Media & Publications

Dr. Gafford IV has no media or publications listed.

Languages Spoken

  • English

Memberships & Professional Affiliations

Dr. Gafford IV does not have any memberships or affiliations listed. If you are Dr. Gafford IV and would like to add memberships or affiliations, please update your profile.

Dr. Gafford IV's Reviews

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Dr. Gafford IV's Performance
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What People Say About Dr. Frank Gafford IV, MD
Outstanding cardiologist
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Gene in St Louis, MO – Sep 21, 2016
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