Dr. Matthew Justin Mchale , DO
Surgery โข Saint Louis, MO
1 Barnes Jewish Hospital Plz, Div Surg Accs
Saint Louis, MO 631101003
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 29, 2007; this date does not establish years in practice.
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Published CMS data list 266 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99231 โ Subsequent hospital care with straightforward or low level of medical decision making, per day: 171 service units.
- 99222 โ Initial hospital care with straightforward or low-level medical decision making: 40 service units.
- 99221 โ Initial hospital care with straightforward or low level of medical decision making, per day: 33 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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More Medicare Part B services than 70% of clinicians listed under Surgery in Saint Louis, MO (2024, 92 clinicians with data). Median for this group: 175. Middle half: 92 to 288.
More Medicare Part B services than 65% of clinicians listed under Surgery in Missouri (2024, 351 clinicians with data). Median for this group: 195. Middle half: 102 to 317.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 110 in 2022 to 266 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
1 Barnes Jewish Hospital Plz
Div Surg Accs
Saint Louis, MO 631101003
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Ssm Health Care Group; Washington University. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Philadelphia College Of Osteopathic Medicine
2006
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
176 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $17,303 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $13,455 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $100.45 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
20 years (graduated 2006)
CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Mchale has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Mchale as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Saint Louis and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Surgery in Saint Louis, MO (2024, 92 clinicians with data). Median for this group: 175. Middle half: 92 to 288.
More Medicare Part B services than 65% of clinicians listed under Surgery in Missouri (2024, 351 clinicians with data). Median for this group: 195. Middle half: 102 to 317.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Surgery in Saint Louis, MO (2024, 92 clinicians with data). Median for this group: $23,873. Middle half: $11,140 to $40,146.
A lower Medicare-allowed amount than 60% of clinicians listed under Surgery in Missouri (2024, 351 clinicians with data). Median for this group: $23,612. Middle half: $10,620 to $45,112.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Surgery in Saint Louis, MO (2024, 92 clinicians with data). Median for this group: $18,367. Middle half: $8,320 to $31,284.
A lower Medicare payment amount than 60% of clinicians listed under Surgery in Missouri (2024, 351 clinicians with data). Median for this group: $17,905. Middle half: $8,058 to $34,751.
239 active clinicians are listed under Surgery with a practice address in Saint Louis, MO (715 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Saint Louis
10% of these 239 clinicians have the CMS telehealth indicator.
49% of these 239 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 142% from 110 in 2022 to 266 in 2024.
- 2022: 110
- 2023: 204
- 2024: 266
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Medicare-allowed amount
Medicare-allowed amount increased 27% from $13,575 in 2022 to $17,303 in 2024.
- 2022: $13,575
- 2023: $16,085
- 2024: $17,303
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Paid by Medicare
Paid by Medicare increased 26% from $10,660 in 2022 to $13,455 in 2024.
- 2022: $10,660
- 2023: $12,657
- 2024: $13,455
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $276.33 in 2019 to $100.45 in 2025.
- 2019: $276.33
- 2020: $17.49
- 2021: $20.22
- 2024: $143.11
- 2025: $100.45
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $100.45.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
|
RIBFIX TITAN | General | $100.45 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2022โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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171 | 83 | $142.72 | $46.85 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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40 | 40 | $359.45 | $125.25 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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33 | 33 | $215.39 | $79.36 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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22 | 16 | $165.86 | $75.56 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-03-06NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 207LC0200X
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20210909000153
MO
6709020761
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ssm Health Care Group
1225 S Grand Blvd, Saint Louis, MO 631041016
Ssm Health Care Group
10101 Woodfield Ln, Saint Louis, MO 631322946
Phone: 6082804647
Washington University
1 Barnes Jew Hosp Plz, Saint Louis, MO 631101003
Phone: 3147473000
Washington University
4921 Parkview Pl, Saint Louis, MO 631101032
Phone: 3143624699
Ssm Health Care Group
1201 S Grand Blvd, Saint Louis, MO 631041016
Phone: 3146172000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Family Nurse Practitioner
Surgery - Surgical Critical Care
Doctor of Medicine (M.D.)
Nurse Practitioner - Gerontology
Adult-Gerontology Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner
Nurse Practitioner - Acute Care
Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 7412011, CHICAGO, IL 606742011 (Tel: 3143625298)
Anesthesiology (license number reported to NPPES: MO 2021029953)
Surgery (license number reported to NPPES: TX S1656)
Registered at PO BOX 60352, SAINT LOUIS, MO 631600352 (Tel: 3143625298)
Registered at PO BOX 802843, KANSAS CITY, MO 641802843
Anesthesiology (license number reported to NPPES: MO 2021029953)
Registered at 1 BARNES JEWISH HOSPITAL PLZ, DIV SURG ACCS, SAINT LOUIS, MO 631101003 (Tel: 3143625298)
Registered at 660 S EUCLID AVE, MSC 8109-43-1160, SAINT LOUIS, MO 631101010 (Tel: 3147472829)
Recorded as MATTHEW MCHALE, DO
Surgery (license number reported to NPPES: MO 2021029953)
Registered at 6410 FANNIN ST STE 1400, HOUSTON, TX 770305389 (Tel: 8323257125)
Registered at 6410 FANNIN ST STE 1400, HOUSTON, TX 770305389 (Tel: 8323257125)
NPI status registered as active in NPPES database
Registered at 90 HOPE DR BLDG 6000, 366 MDG, MOUNTAIN HOME AFB, ID 836481062 (Tel: 2088287533)
Registered at 90 HOPE DR BLDG 6000, 366 MDG, MOUNTAIN HOME AFB, ID 836481062 (Tel: 2088287533)
Recorded as MATTHEW MCHALE, D.O.
Surgery (license number reported to NPPES: IN 02003402A)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Saint Louis
- Dr. Cody Barnes, MD
- Dr. John Eagon, MD
- Dr. Shaina Eckhouse, MD
- Dr. L Brunt, MD
- Dr. Alison Gildehaus, MD
- Dr. Christopher Pruett, MD
Mailing Address
Po Box 7412011
Chicago, IL 606742011
Phone: 3143625298