Active NPI
Matthew A Lange, DO
- Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2018016254
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Mercy Hospital South
- Mercy Hospital St Louis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 13 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New You Surgical Weight Loss, LLC | Surgery | Current | Accepting new patients |
| Ozarks Medical Center | Current | Accepting new patients | |
| Ozarks Medical Center | Current | 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
- https://fhir4.healow.com/fhir/r4/HEHDDD/Endpoint/HEHDDD
- 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.
-
- Surgery Physician
- Saint Louis, MO
- NPI 1700588571
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Psychiatric Hospital Unit
- West Plains, MO
- NPI 1235929027
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.