Individual provider Active NPI

Matthew M Ragsdell, DO

  • Sports Medicine (Orthopaedic Surgery) Physician
  • South Pasadena, FL
National Provider Identifier
1629196811
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
OS13422 Issued in FL
Practice address
1615 Pasadena Ave S Ste 290
South Pasadena, FL 33707-4517
Phone
(727) 826-0329
Fax
(727) 202-7193
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 2004015332 MO
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 5101015376 MI
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X OS13422 FL Primary

Addresses

Primary practice location

1615 Pasadena Ave S Ste 290
South Pasadena, FL 33707-4517

Mailing address

1615 Pasadena Ave S Ste 290
South Pasadena, FL 33707-4517
Phone (727) 826-0329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121026000140 MO Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 9830258649 Reassigns benefits to 5 organizations
I20151012000126 FL Practitioner - Orthopedic Surgery 9830258649

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Michigan State University College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland County Memorial Hospital 32 clinicians
Sullivan County Memorial Hospital 17 clinicians

Practice addresses (Care Compare)

450 E Sigler Ave
Memphis, MO 63555-1726
Phone (660) 465-2828

Courthouse
Milan, MO 63556

Hospital & facility affiliations

  • Scotland County Home Health Agency Home health agency, Memphis, MO, CCN 267070
  • Scotland County Hospital Hospital, Memphis, MO, CCN 261310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13422FLMDSports Medicine (Orthopaedic Surgery) Physician
5101015376MIMDSports Medicine (Orthopaedic Surgery) Physician
2004015332MOMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan County Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
Sullivan County Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Sullivan County Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Scotland County Memorial Hospital Current Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
Scotland County Memorial Hospital CurrentSince Jun 1, 2024 Accepting new patients
Scotland County Memorial Hospital Current Accepting new patients
Scotland County Memorial Hospital CurrentSince Jun 1, 2024 Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
Jefferson City Medical Group, P.C. CurrentSince Jun 1, 2018 Accepting new patients
Black Mountain Orthopaedics Assc LLP Past Accepting new patients
Tampa Bay Spine and Injury PastSince Apr 15, 2023 Accepting new patients

Locations

55682 State Highway 6
Ste A
Edina, MO 63537
Phone (660) 460-8140

1241 W Stadium Blvd
#L400B
Jefferson Cty, MO 65109
Phone (573) 556-7724

1225 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-7725

1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771

450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828

450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828

630 W 3rd St
Milan, MO 63556
Phone (660) 265-1077

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sulliva-d2785c8f

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1629196811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S STE 290",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074517",
            "telephone_number": "727-826-0329",
            "fax_number": "727-202-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S STE 290",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074517",
            "telephone_number": "727-826-0329",
            "fax_number": "727-202-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGSDELL",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "2004015332",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "5101015376",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "OS13422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

Verify at the official NPI Registry.