MR. SCOTT ALAN LANGE PA
NPI 1104801315
Physician Assistant - Surgical in Allentown, PA

NPI Status: Active since December 09, 2005

Contact Information

1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA
ZIP 18103
Phone: (610) 402-6890

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  • Individual
  • Male
  • Years of Experience 24
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SCOTT LANGE

This page provides the complete NPI Profile along with additional information for Scott Lange, a provider established in Allentown, Pennsylvania with a medical specialization in Physician Assistant, focusing in surgical and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1104801315 assigned on December 2005. The practitioner's primary taxonomy code is 363AS0400X with license number MA066360 (PA). The provider is registered as an individual and his NPI record was last updated April 2026.

NPI
1104801315
Provider Name
MR. SCOTT ALAN LANGE PA
Gender
Male
Entity Type
Individual
Location Address
1250 S CEDAR CREST BLVD STE 310 ALLENTOWN, PA 18103
Location Phone
(610) 402-6890
Mailing Address
PO BOX 27128 SALT LAKE CITY, UT 84127
Mailing Phone
(801) 357-7081
Medical School Name
OTHER
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
12-09-2005
Last Update Date
04-27-2026
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Location Map

Secondary Locations

  • 1134 N 500 W Suite 100
    Provo, UT 84604
    (801) 357-7081

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
MA066360
License State
PA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

PA00880 (OR)
2363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

6224324-1206 (UT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
  • my Blue Access WV PPO Bronze 3800 - PPO
  • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Bronze 9200 - PPO
  • my Blue Access WV PPO Gold 0 - PPO
  • my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Gold 1700 HSA - PPO
  • my Blue Access WV PPO Premier Gold 0 - PPO
  • my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Premier Silver 0 - PPO
  • my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Bronze 7500 - PPO
  • my Blue Access WV PPO Standard Gold 2000 - PPO
  • my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Silver 6000 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Scott Lange is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Scott Lange is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 840297818

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231213002437

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MR. SCOTT ALAN LANGE PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104801315, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 6 + 0 + 2 + 3 + 2 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104801315.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Nurse Practitioner (Critical Care Medicine)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Nurse Practitioner (Family)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Nurse Practitioner (Critical Care Medicine)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Nurse Practitioner (Gerontology)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Nurse Practitioner (Acute Care)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Nurse Practitioner (Gerontology)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Physician Assistant
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Nurse Practitioner (Gerontology)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Nurse Practitioner (Family)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Nurse Practitioner
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104801315, enumerated as an "individual" on December 09, 2005.

The provider is located at 1250 S CEDAR CREST BLVD STE 310 ALLENTOWN, PA 18103 and the phone number is (610) 402-6890.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to verify.