Cache Valley Surgery Center, LLC
NPI 1063037703 · Ambulatory Surgical Clinic/Center · Logan, UT
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cache Valley Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Logan, UT (NPI 1063037703).
Provider details
- NPI number
- 1063037703
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Lecheminant, Administrator(385) 203-0246
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
6 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
788 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 of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 165 | $338 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 129 | $288 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 114 | $332 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 94 | $795 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance62321 | 51 | $337 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-06-09
- Last updated
- 2023-02-15
- Certified
- 2023-02-15
Frequently asked questions
- What is Cache Valley Surgery Center, LLC's NPI number?
- Cache Valley Surgery Center, LLC's National Provider Identifier (NPI) is 1063037703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cache Valley Surgery Center, LLC?
- Cache Valley Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cache Valley Surgery Center, LLC located?
- Cache Valley Surgery Center, LLC's practice location on file with NPPES is 630 E 1400 N Ste 120, Logan, UT 84341-2691.
- What is Cache Valley Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Cache Valley Surgery Center, LLC is (435) 787-7246.
- Does Cache Valley Surgery Center, LLC accept Medicare?
- Cache Valley Surgery Center, 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 Cache Valley Surgery Center, LLC?
- The authorized official listed on Cache Valley Surgery Center, LLC's NPPES record is Ryan Lecheminant, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cache Valley Surgery Center, LLC's NPI active?
- Yes — Cache Valley Surgery Center, LLC's NPI (1063037703) is active in the NPPES registry as of the last update on 2023-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.