St. George Surgery Center, LLC
NPI 1104401561 · Ambulatory Surgical Clinic/Center · St George, UT
Provider details
- NPI number
- 1104401561
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mitchell Cloward, Administrator(435) 251-2106
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
5 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
20,144 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 | 19,589 | $1 |
| Release of Wrist Ligament Using an Endoscope29848 | 87 | $681 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 64 | $8,490 |
| Removal of Bone Joints Between Wrist and Fingers25447 | 39 | $865 |
| Repair of Shoulder Rotator Cuff Using an Endoscope29827 | 39 | $2,426 |
| Incision of Tendon Covering of Finger26055 | 35 | $434 |
| Crushing of Stone of Ureter With Insertion of Stent Using an Endoscope |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Intermountain Health Surgery Center - St. George
- Doing business as
- Intermountain Surgery Center - St. George
Registry dates
- Enumerated
- 2021-03-16
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.