Individual provider Active NPI

Matthew R. Gage, DC

  • Chiropractor
  • Derby, KS
National Provider Identifier
1396711032
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04870 Issued in KS
Practice address
1701 E Madison Ave
Ste a
Derby, KS 67037-2079
Phone
(316) 788-3713
Fax
(316) 788-3231
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04870 KS Primary

Addresses

Primary practice location

1701 E Madison Ave
Ste a
Derby, KS 67037-2079

Mailing address

1701 E. Madison Ste a
Ste a
Derby, KS 67037
Phone (316) 788-3713

Other identifiers 1

IdentifierTypeStateIssuer
062064OtherKSBLUE CROSS BLUES SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000322 KS Practitioner - Chiropractic 2062401292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew R. Gage, DC.,PA.Group PAC ID 4981693017, 2 clinicians

Practice addresses (Care Compare)

1701 E Madison Ave a
Gage Chiropractic Center
Derby, KS 67037-2079
Phone (316) 788-3713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-04870KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew R. Gage, D.C.,P.a. Chiropractor CurrentSince Jan 31, 2004 Accepting new patients

Locations

1701 E Madison Ave
Ste A
Derby, KS 67037
Phone (316) 788-3713

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396711032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E. MADISON STE A",
            "address_2": "STE A",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "67037",
            "telephone_number": "316-788-3713",
            "fax_number": "316-788-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E MADISON AVE",
            "address_2": "STE A",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372079",
            "telephone_number": "316-788-3713",
            "fax_number": "316-788-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "MATTHEW",
        "middle_name": "R.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUES SHIELD",
            "identifier": "062064",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.