Creve Coeur Chiropractor Sentenced to 100 Months in Prison

ST. LOUIS - U.S. District Judge Henry E. Autrey on Wednesday sentenced a chiropractor who committed healthcare fraud and issued fraudulent subscriptions for controlled substance to 100 months in prison and ordered him to repay $4.7 million to Medicaid, Medicare and Tricare.

Jerry Dale Leech, 53, of Creve Coeur, pleaded guilty in U.S. District Court in St. Louis in 2021 to one count of conspiracy, one count of obtaining controlled substances through fraud, one count of receiving illegal kickbacks for referrals and one count of health care fraud. Two of his co-conspirators, Dr. Stanley L. Librach, now 65, of Chesterfield, and Dr. Asim Muhammad Ali, 55, of Creve Coeur, pleaded guilty to similar charges.

In court during Wednesday's hearing, Assistant U.S. Attorney Amy Sestric called Leech "the ringmaster of the conspiracy."

All three men admitted that Dr. Ali and Dr. Librach wrote prescriptions for the powerful pain medication oxycodone and other controlled substances when there was no legitimate medical purpose and while acting outside the usual course of professional practice. As Leech knew, the doctors had not examined the patients, rarely looked at their charts and should have known via drug tests that they were not taking the drugs that they were prescribed or were taking non-prescribed or illegal drugs. Leech actively encouraged the doctors to prescribe controlled substances despite the aberrant drug test results. He also exchanged fraudulent prescriptions to other conspirators for cash or other items of value. The conspirators knew that pharmacies would seek reimbursement for the medications from Medicare and Medicaid. Leech admitted responsibility for at least 94,971 oxycodone pills that had been distributed with no legitimate medical purpose.

In another scheme, they agreed to send urine samples for testing to a lab operated by Dr. Ali, Central Diagnostic Laboratory, in exchange for illegal kickbacks that went to business entities owned by Leech and another co-defendant, Denis J. Mikhlin. CDL then sought reimbursement from Medicare and Medicaid for the testing. CDL paid Midwest Marketing, a company run by Leech, at least $150,795 in bribes for the reimbursement CDL received from federal health care programs, which was at least $861,600.

"Jerry Leech and his co-conspirators exploited Medicare and Medicaid and put patients at risk solely for their own financial gain," said Special Agent in Charge Linda T. Hanley of the U.S. Department of Health and Human Services Office of Inspector General (HHS OIG). "Even as our nation continues to address the opioid crisis, these fraudsters executed their schemes by pushing opioid medications without a legitimate medical purpose, thus siphoning critical resources from Medicare and Medicaid and undermining federal health care programs designed to protect vulnerable individuals. HHS OIG, alongside our federal and state law enforcement partners, will continue to pursue those who defraud our health care system to ensure they are held fully accountable."

"Jerry Leech and the individuals he conspired with misled patients and in essence stole from the healthcare system," DEA St. Louis Field Division Special Agent in Charge Michael Davis said. "These acts are unacceptable. We hold practitioners to high standards for a reason and Mr. Leech took advantage of his title helping himself to profits while hurting others along the way. The DEA will not stand for these types of actions."

Eleven defendants were indicted in 2020, including three doctors, their staff and purported patients. A twelfth was added in 2022. All have pleaded guilty.

Mikhlin, 47, of Chesterfield, was sentenced in 2021 to nine years in prison and ordered to repay $181,265. Dr. Librach was sentenced in June of 2025 to 60 months in prison and ordered to repay $2.87 million. Dr. Ali was sentenced in September to 70 months in prison and ordered to repay $1.8 million.

The HHS-OIG, the DEA, the Missouri Attorney General's Medicaid Fraud Control Unit, the Federal Bureau of Investigation and the Defense Criminal Investigative Service investigated the case. Assistant U.S. Attorneys Amy Sestric, Derek Wiseman and Jonathan Clow prosecuted the case.