Individual provider Active NPI

Matthew A Lange, DO

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1063775716
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2018016254 Issued in MO
Practice address
1000 Des Peres Rd Ste 120
Saint Louis, MO 63131-2062
Phone
(314) 887-7605
Fax
(314) 887-7609
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2018016254 MO Primary

Addresses

Primary practice location

1000 Des Peres Rd Ste 120
Saint Louis, MO 63131-2062

Mailing address

1000 Des Peres Rd Ste 120
Saint Louis, MO 63131-2062
Phone (314) 887-7605

Other practice location 1

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 256-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128001597 MO Practitioner - General Surgery 4082934054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036

456 N New Ballas Rd
Suite 386
Saint Louis, MO 63141-6846
Phone (314) 887-7605

Hospital & facility affiliations

  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux13
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
New You Surgical Weight Loss, LLC Surgery CurrentSince May 15, 2023 Accepting new patients
Ozarks Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Ozarks Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Mercy Hospital South Past Accepting new patients

Locations

621 S New Ballas Rd
Ste 7011B
Saint Louis, MO 63141
Phone (314) 251-6840

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

1000 Des Peres Rd
Ste 120
Saint Louis, MO 63131
Phone (314) 205-2223

456 N New Ballas Rd
Ste 386
Saint Louis, MO 63141
Phone (314) 292-7080

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHDDD/Endpoint/HEHDDD
  • Direct secure messaging: mlange300162@direct.hfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1063775716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312062",
            "telephone_number": "314-887-7605",
            "fax_number": "314-887-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312062",
            "telephone_number": "314-887-7605",
            "fax_number": "314-887-7609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-256-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2018016254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.