Southern Kentucky Surgicenter, LLC
NPI 1063999662 · Ambulatory Surgical Clinic/Center · Bowling Green, KY
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Kentucky Surgicenter, LLC is a Ambulatory Surgical Clinic/Center organization in Bowling Green, KY (NPI 1063999662).
Provider details
- NPI number
- 1063999662
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Mcknight, Vp/Cfo(972) 789-2816
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
7 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
1,666.5 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) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 607 | $1,089 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 238 | $552 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 216 | $431 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 138 | $287 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 71 | $8,188 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Greenview Surgery Center
- Doing business as
- Greenview Surgery Center
Registry dates
- Enumerated
- 2018-07-26
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Southern Kentucky Surgicenter, LLC's NPI number?
- Southern Kentucky Surgicenter, LLC's National Provider Identifier (NPI) is 1063999662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Kentucky Surgicenter, LLC?
- Southern Kentucky Surgicenter, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Kentucky Surgicenter, LLC located?
- Southern Kentucky Surgicenter, LLC's practice location on file with NPPES is 484 Golden Autumn Way, Bowling Green, KY 42103.
- What is Southern Kentucky Surgicenter, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Kentucky Surgicenter, LLC is (270) 938-6500.
- Does Southern Kentucky Surgicenter, LLC accept Medicare?
- Southern Kentucky Surgicenter, 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 Southern Kentucky Surgicenter, LLC?
- The authorized official listed on Southern Kentucky Surgicenter, LLC's NPPES record is David Mcknight, Vp/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Kentucky Surgicenter, LLC's NPI active?
- Yes — Southern Kentucky Surgicenter, LLC's NPI (1063999662) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.