Psa Ambulatory Surgery Center of Killeen LLC
NPI 1003166844 · Ambulatory Surgical Clinic/Center · Killeen, TX
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Psa Ambulatory Surgery Center of Killeen LLC is a Ambulatory Surgical Clinic/Center organization in Killeen, TX (NPI 1003166844).
Provider details
- NPI number
- 1003166844
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Davelyn Mahoney, Credentialing Manager(512) 485-7208
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
859 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 147 | $263 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin63650 | 118 | $4,569 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 110 | $335 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 78 | $367 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 78 | $827 |
| Partial Removal of Spine Bone With Release of Lower Spinal Cord Or Nerves And/Or Removal of Disc |
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-19
- Last updated
- 2023-08-28
- Certified
- 2023-08-28
Frequently asked questions
- What is Psa Ambulatory Surgery Center of Killeen LLC's NPI number?
- Psa Ambulatory Surgery Center of Killeen LLC's National Provider Identifier (NPI) is 1003166844, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psa Ambulatory Surgery Center of Killeen LLC?
- Psa Ambulatory Surgery Center of Killeen LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Psa Ambulatory Surgery Center of Killeen LLC located?
- Psa Ambulatory Surgery Center of Killeen LLC's practice location on file with NPPES is 2701 E. Stan Schlueter Loop, Killeen, TX 76542.
- What is Psa Ambulatory Surgery Center of Killeen LLC's phone number?
- The practice phone number listed in the NPPES registry for Psa Ambulatory Surgery Center of Killeen LLC is (512) 485-7200.
- Does Psa Ambulatory Surgery Center of Killeen LLC accept Medicare?
- Psa Ambulatory Surgery Center of Killeen LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Psa Ambulatory Surgery Center of Killeen LLC?
- The authorized official listed on Psa Ambulatory Surgery Center of Killeen LLC's NPPES record is Davelyn Mahoney, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psa Ambulatory Surgery Center of Killeen LLC's NPI active?
- Yes — Psa Ambulatory Surgery Center of Killeen LLC's NPI (1003166844) is active in the NPPES registry as of the last update on 2023-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.