Town guide

Middletown, Missouri

Middletown is a town in Pike County, Missouri, home to about 248 people across 0.3 square miles. It has no ZIP code of its own: it’s part of 63359.

Population248775 per sq mi
Median home value$65,000Census, as estimated by owners

ZIP codes in Middletown

1 ZIP code, 1 shared with neighboring towns
Middletown, MO63359 —/sq ft

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  • History
  • What it’s like to live there
  • Getting around
  • Things to do

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Around Middletown

Distances

Nearest major airportSt. Louis Lambert International Airport (STL)60 miles away
Closer regional airportColumbia Regional Airport (COU)49 miles away
Nearest city of 250,000+St. Louis, MO69 miles away
Nearest city of 1 million+Chicago, IL271 miles away

Straight-line distances from the center of Middletown; driving is longer.

Source: Airports from OurAirports (scheduled passenger service); city centers and populations from the U.S. Census Bureau.

Who represents Middletown

Source: Members of Congress from the congress-legislators project; districts from the Census Bureau’s relationship files; governor and mayor from Wikidata.

Population over time

Middletown had 171 residents in the 2020 census, down 14% since 2000.

It’s the 678th largest of 1,060 towns in Missouri by population.

Pike County grew from 25,744 residents in 1900 to 17,587 in 2020.

Middletown population by census2000: 199, 2010: 167, 2020: 171199200016720101712020

Pike County, 1900–2020

Pike County population, 1900 to 20201900: 25,744, 1910: 22,556, 1920: 20,345, 1930: 18,001, 1940: 18,327, 1950: 16,844, 1960: 16,706, 1970: 16,928, 1980: 17,568, 1990: 15,969, 2000: 18,351, 2010: 18,516, 2020: 17,58726K’00’1020K’20’3018K’40’5017K’60’7018K’80’9018K’00’1018K’20

Source: U.S. Census Bureau decennial censuses (counties 1900–1990 from the Bureau’s historical county file).

Weather by month

Average highs peak around 86°F in summer, and winter lows average 19°F. About 41.4 inches of rain and melted snow fall in a typical year.

Average high and low temperature and precipitation by month near MiddletownJan: high 36°F, low 19°F, 2.2 in; Feb: high 41°F, low 22°F, 2.3 in; Mar: high 52°F, low 31°F, 3.4 in; Apr: high 64°F, low 42°F, 4.2 in; May: high 74°F, low 53°F, 5 in; Jun: high 83°F, low 63°F, 5.1 in; Jul: high 86°F, low 66°F, 4.6 in; Aug: high 85°F, low 64°F, 3.4 in; Sep: high 79°F, low 56°F, 3.7 in; Oct: high 67°F, low 44°F, 2.8 in; Nov: high 53°F, low 33°F, 2.7 in; Dec: high 41°F, low 24°F, 2 in36°19°Jan2.241°22°Feb2.352°31°Mar3.464°42°Apr4.274°53°May5.083°63°Jun5.186°66°Jul4.685°64°Aug3.479°56°Sep3.767°44°Oct2.853°33°Nov2.741°24°Dec2.0Rain and melted snow, inches

Source: NOAA 1991–2020 climate normals, Vandalia, MO weather station (15 miles away).

Jobs in Pike County

4,438 jobs at 395 businesses in Pike County. The biggest industries by employees:

Largest industries in Pike CountyManufacturing: 881 jobs; Retail trade: 806 jobs; Health care and social assistance: 744 jobs; Hotels and restaurants: 413 jobs; Wholesale trade: 360 jobs; Construction: 308 jobs; Transportation and warehousing: 275 jobs; Finance and insurance: 164 jobsManufacturing 20% Retail trade 18% Health care and social assistance 17% Hotels and restaurants 9% Wholesale trade 8% Construction 7% Transportation and warehousing 6% Finance and insurance 4%

Source: U.S. Census Bureau County Business Patterns 2023 (private employers; jobs counted where people work).

Health care

Nearest hospitals

  • Mercy Hospital LincolnCritical access hospital · emergency room · Troy23.2 miles
  • Hermann Area District HospitalCritical access hospital · emergency room · Hermann28.7 miles
  • Pike County Memorial HospitalCritical access hospital · emergency room · Louisiana28.9 miles

Source: Hospitals from CMS Hospital General Information (ratings are CMS overall star ratings); straight-line distances.

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Where Middletown is

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Towns near Middletown

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Town boundaries don’t always match ZIP codes: a ZIP code can cross into neighboring towns, and a town can share a ZIP code with its neighbors. Facts describe the town itself; market figures describe whole ZIP codes.