THOMAS PRANGE (PA-C) – Surgical Physician Assistant, NPI 1356701676

THOMAS PRANGE (PA-C) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2016005474 (MO). The NPI Number for THOMAS PRANGE (PA-C) is 1356701676

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS PRANGE (PA-C)
NPI
1356701676
Phone
Not provided
Address
PO BOX 955534
Enumeration Date
29 February 2016
Last Update Date
23 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
6901103597
Group Practice PAC ID
0143608372
Professional Enrollment ID
I20160325000451
Address ID
MO631041016SA1225XBLVD400

Contacts

Secure Messaging
tprange162461@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness95
Years active:10State licenses:1Other names

1,871 PHYSICIAN ASSISTANT in MO

Provider Addresses for THOMAS PRANGE (PA-C)

  • PO BOX 955534

    SAINT LOUIS, MO 631955534

    Phone:

    Type: Mailing

  • 12303 DE PAUL DR

    BRIDGETON, MO 630442512

    Phone: (314) 344-6000

    Type: Location

  • 100 Mercy Way Ste 310

    Joplin, MO 648044524

    Phone: (417) 556-8600

    Type: Location

  • 100 MERCY WAY STE 310

    JOPLIN, MO 648044524

    Phone: (417) 556-8600

    Type: Mailing

  • 1465 S GRAND BLVD

    SAINT LOUIS, MO 631041003

    Phone: (314) 257-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $2,908.

Total Amount is formed as General ($2,908) + Research ($0) + Ownership ($0) = $2,908.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ATRICURE, INC. ($1,951).

Total Amount

$2,908

General + Research + Ownership

Payments

24

Total payment records

General Amount

$2,908

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160325000451IPhysician AssistantMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1712$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 63195)

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Provider's Procedures

THOMAS PRANGE (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMO33533Heart artery bypass to repair one artery1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143608372View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Hematology/Oncology, Internal MedicineMO
Anesthesiology AssistantMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Diagnostic RadiologyMO
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMO
P S Y C H I A T R YMO
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

Can I verify THOMAS PRANGE (PA-C) with an NPI only?
You can start verification with NPI 1356701676 for THOMAS PRANGE (PA-C), then check state licensing separately.
Does the file indicate THOMAS PRANGE (PA-C) is practicing under active NPI?
Directory data currently reports THOMAS PRANGE (PA-C) as active.
What taxonomy line describes THOMAS PRANGE (PA-C)?
For research purposes, treat THOMAS PRANGE (PA-C) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect THOMAS PRANGE (PA-C) on a map?
Expect Saint Louis, Missouri as a primary anchor for THOMAS PRANGE (PA-C) unless the record lists multiple sites.
Why does THOMAS PRANGE (PA-C) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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