NPIMap

Individual provider Active NPI

Cassandra Suzanne Lange, MD

  • Orthopaedic Surgery Physician
  • Cedar Rapids, IA
National Provider Identifier
1497753156
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34157 Issued in IA
Practice address
1962 1St Ave NE Ste a
Cedar Rapids, IA 52402-5330
Phone
(319) 449-4763
NPI assigned
Jul 7, 2005
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 34157 IA Primary

Addresses

Primary practice location

1962 1St Ave NE Ste a
Cedar Rapids, IA 52402-5330

Mailing address

1962 1St Ave NE Ste a
Cedar Rapids, IA 52402-5330
Phone (319) 449-4763

Other identifiers 2

IdentifierTypeStateIssuer
38135OtherIABLUE CROSS/BLUE SHIELD
1234757MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000995 IA Practitioner - Orthopedic Surgery 9638129521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1962 1St Ave NE
Suite a
Cedar Rapids, IA 52402-5330
Phone (319) 449-4763

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.04 of 100Reported as individual
Quality
56.81
Promoting interoperability
58
Improvement activities
40
Cost
81.67

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement67
Knee replacement47
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34157IAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lange Orthopaedics PC Orthopaedic Surgery CurrentSince Jan 12, 2021 Accepting new patients
Delaware County Memorial Hospital CurrentSince Aug 10, 2017 Accepting new patients
Delaware County Memorial Hospital CurrentSince Aug 10, 2017 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Dubuque Orthopaedic Surgeons PC Orthopaedic Surgery Past Accepting new patients

Locations

1075 1st Ave SE
Cedar Rapids, IA 52402
Phone (319) 558-4800

1962 1st Ave NE
Ste A
Cedar Rapids, IA 52402
Phone (319) 449-4763

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/82ffc56e-a8c8-428a-a28b-8c9d0bafcb76/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/WFOlwheC6aKuCJYbPTtM9YxT0wMlV2rb/

Organizations & group practices 5

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

Hospital & facility affiliations 6

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1497753156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 1ST AVE NE STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025330",
            "telephone_number": "319-449-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 1ST AVE NE STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025330",
            "telephone_number": "319-449-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "CASSANDRA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "34157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "38135",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234757",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.