Sagamore Surgical Services, Inc.
NPI 1003816307 · Ambulatory Surgical Clinic/Center · Lafayette, IN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sagamore Surgical Services, Inc. is a Ambulatory Surgical Clinic/Center organization in Lafayette, IN (NPI 1003816307).
Provider details
- NPI number
- 1003816307
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shelby Brouillette, Administrator Don(765) 474-7838
- License
- 05-006126-1 (IN)
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
21 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
44 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) |
|---|---|---|
| Incision of Eardrum With Placement of Eardrum Tube Under General Anesthesia69436 | 33 | $480 |
| Evaluation of Sleep-Disordered Breathing By Examination of Upper Airway Using an Endoscope42975 | 11 | $719 |
Typical Medicare-allowed amounts for these services range $480–$719 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-28
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Sagamore Surgical Services, Inc.'s NPI number?
- Sagamore Surgical Services, Inc.'s National Provider Identifier (NPI) is 1003816307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sagamore Surgical Services, Inc.?
- Sagamore Surgical Services, Inc. is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sagamore Surgical Services, Inc. located?
- Sagamore Surgical Services, Inc.'s practice location on file with NPPES is 2320 Concord Rd, Lafayette, IN 47909-2708.
- What is Sagamore Surgical Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Sagamore Surgical Services, Inc. is (765) 474-7854.
- Does Sagamore Surgical Services, Inc. accept Medicare?
- Sagamore Surgical Services, Inc. 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 Sagamore Surgical Services, Inc.?
- The authorized official listed on Sagamore Surgical Services, Inc.'s NPPES record is Shelby Brouillette, Administrator Don. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sagamore Surgical Services, Inc.'s NPI active?
- Yes — Sagamore Surgical Services, Inc.'s NPI (1003816307) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.