DR. MATTHEW G MUTCH (MD) – Colon & Rectal Surgery Physician, NPI 1669498887

DR. MATTHEW G MUTCH (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in GENERAL SURGERY, COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials MD. They hold a License No. 106142 (MO). The NPI Number for DR. MATTHEW G MUTCH (MD) is 1669498887

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW G MUTCH (MD)
NPI
1669498887
Phone
(314) 454-7177
Address
1044 N MASON RD
Enumeration Date
14 July 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3142862500
Graduation Year
1994 (32 years ago)
PAC ID
5991782799
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20040701000028
Address ID
MO631290002SA5225XPLZX400
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

785 GENERAL SURGERY in MO

Provider Addresses for DR. MATTHEW G MUTCH (MD)

  • 1044 N MASON RD

    DIV SURG COLON/RECTAL, STE 310

    SAINT LOUIS, MO 631416431

    Phone: (314) 454-7177

    Fax: (888) 425-7946

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 454-7177

    Fax: (888) 425-7946

    Type: Mailing

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    MSC 8109-37-915

    SAINT LOUIS, MO 631101010

    Phone: (314) 454-7177

    Fax: (888) 425-7946

    Type: Mailing

  • 1040, Mason Road, Fernridge, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    DIV SURG COLON/RECTAL, STE 120

    SAINT LOUIS, MO 631416399

    Phone: (314) 454-7177

    Fax: (888) 425-7946

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2023-08-04 • Largest payer in this snapshot: Kerecis Limited ($145).

Total Amount

$145

General + Research + Ownership

Payments

1

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Kerecis Limited$145
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: 2004-07-01

PECOS data refreshed: 2026-05-27

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
I20040701000028IColorectal Surgery (Proctology)MOTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes149102$0
99214Established patient office or other outpatient visit, 30-39 minutes7263$0
46600Diagnostic exam of anus using an endoscope4735$0
99205New patient office or other outpatient visit, 60-74 minutes3939$0
99213Established patient office or other outpatient visit, 20-29 minutes2524$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MATTHEW G MUTCH (MD)?
DR. MATTHEW G MUTCH (MD) — NPI 1669498887 — is the standard way to identify this listing.
Is DR. MATTHEW G MUTCH (MD) still practicing?
DR. MATTHEW G MUTCH (MD) is currently listed as active in the public NPI registry.
What is DR. MATTHEW G MUTCH (MD) best known for clinically?
Directory data describes DR. MATTHEW G MUTCH (MD) with Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DR. MATTHEW G MUTCH (MD) serve?
DR. MATTHEW G MUTCH (MD)'s listing highlights Saint Louis, Missouri; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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