DR. MATTHEW PAUL MELANDER DO
NPI 1174561211
Orthopaedic Surgery - Sports Medicine in O Fallon, MO

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9323 PHOENIX VILLAGE PKWY, O FALLON, MO 63368(636) 561-5030(636) 561-5033 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2019, Jan 10, 2019 (2 updates tracked since 2019).

About Dr. Matthew Paul Melander Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW PAUL MELANDER DO (NPI 1174561211) is an individual sports medicine provider in O Fallon, Missouri, licensed in Indiana (02003069A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2001).

NPPES Registry Identity

NPI1174561211
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. MATTHEW PAUL MELANDERCredential: DO
Location Address9323 PHOENIX VILLAGE PKWYO Fallon, MO 63368-4281
Mailing Address12639 Old Tesson RdSaint Louis, MO 63128-2786 · (314) 849-0311 · Fax (314) 849-4423
Fax(636) 561-5033
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2001
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
NPI 1174561211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in IN · 02003069A
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
9323 PHOENIX VILLAGE PKWY, O Fallon, MO 63368

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew Paul Melander Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274636691
PECOS Enrollment IDI20070305000659, I20070724000157
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
54 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services38 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
50 services20 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
28 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
21 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Pike County Memorial Hospital

Critical Access Hospitals · Louisiana, MO
OwnershipGovernment - Local
CMS Certification Number261333
Location2305 West Georgia StreetLouisiana, MO 63353 · Pike County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
9323 PHOENIX VILLAGE PKWY
O FALLON, MO 63368
Orthopaedic Surgery
9323 PHOENIX VILLAGE PKWY
O FALLON, MO 63368
Nurse Practitioner
9323 PHOENIX VILLAGE PKWY
O FALLON, MO 63368
Orthopaedic Surgery
9323 PHOENIX VILLAGE PKWY
O FALLON, MO 63368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Melander's NPI number?

The NPI number for Matthew Melander is 1174561211. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Matthew Melander located?

Matthew Melander practices at 9323 Phoenix Village Pkwy, O Fallon, MO 63368. The listed phone number is (636) 561-5030.

What is Matthew Melander's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Matthew Melander enrolled in Medicare?

Yes. Matthew Melander is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Melander accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Matthew Melander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Melander affiliated with any hospitals?

According to CMS data, Matthew Melander is affiliated with Blessing Hospital and Pike County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Melander was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.