Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew A Lange, DO

Individual provider Surgery Physician · NPI 1063775716

Matthew A Lange, DO is a General Surgery in Saint Louis, Missouri. Qualified in 2012, 14 years ago. Practices with Ozarks Medical Center, a 173-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1000 Des Peres Rd Ste 120
Saint Louis, MO 63131-2062
Phone: (314) 887-7605
Fax: (314) 887-7609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2018016254 (MO)

Record details

NPI number1063775716
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2012
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ozarks Medical Center — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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