Prescott Outpatient Surgical Center LLC
NPI 1083624670 · Ambulatory Surgical Clinic/Center · Prescott, AZ
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prescott Outpatient Surgical Center LLC is a Ambulatory Surgical Clinic/Center organization in Prescott, AZ (NPI 1083624670).
Provider details
- NPI number
- 1083624670
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Boon, Officer/Authorized Official(480) 567-0269
- License
- OSC0035 (AZ)
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
19 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
19,811 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, Bupivacaine Liposome, 1 MgC9290 | 17,822 | $1 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 221 | $350 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 211 | $352 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 206 | $661 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 124 | $385 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Frequently asked questions
- What is Prescott Outpatient Surgical Center LLC's NPI number?
- Prescott Outpatient Surgical Center LLC's National Provider Identifier (NPI) is 1083624670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prescott Outpatient Surgical Center LLC?
- Prescott Outpatient Surgical Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prescott Outpatient Surgical Center LLC located?
- Prescott Outpatient Surgical Center LLC's practice location on file with NPPES is 815 Ainsworth Dr, Prescott, AZ 86301-1631.
- What is Prescott Outpatient Surgical Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Prescott Outpatient Surgical Center LLC is (928) 778-9770.
- Does Prescott Outpatient Surgical Center LLC accept Medicare?
- Prescott Outpatient Surgical 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 Prescott Outpatient Surgical Center LLC?
- The authorized official listed on Prescott Outpatient Surgical Center LLC's NPPES record is Eric Boon, Officer/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prescott Outpatient Surgical Center LLC's NPI active?
- Yes — Prescott Outpatient Surgical Center LLC's NPI (1083624670) is active in the NPPES registry as of the last update on 2024-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.