Surgery Center of St. Joseph, LLC
NPI 1104857523 · Ambulatory Surgical Clinic/Center · Saint Joseph, MO
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgery Center of St. Joseph, LLC is a Ambulatory Surgical Clinic/Center organization in Saint Joseph, MO (NPI 1104857523).
Provider details
- NPI number
- 1104857523
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Fry, Clinic Director(816) 279-0079
- License
- 119-3 (MO)
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
338 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 Recurring Cataract in Lens Capsule Using a Laser66821 | 135 | $275 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 124 | $1,084 |
| Injection of Medication Into Eye66030 | 36 | $1,085 |
| Insertion of Drainage Device Into Drainage Tissue Within Eye (trabecular Meshwork)0671T | 23 | $2,362 |
| Extracapsular Removal of Cataract With Insertion of Artificial Lens and Insertion of Drainage Device in Front Chamber of Eye66991 | 20 | $3,420 |
Typical Medicare-allowed amounts for these services range $275–$3,420 (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
- 2006-07-05
- Last updated
- 2012-04-05
Frequently asked questions
- What is Surgery Center of St. Joseph, LLC's NPI number?
- Surgery Center of St. Joseph, LLC's National Provider Identifier (NPI) is 1104857523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgery Center of St. Joseph, LLC?
- Surgery Center of St. Joseph, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgery Center of St. Joseph, LLC located?
- Surgery Center of St. Joseph, LLC's practice location on file with NPPES is 3201 Ashland Ave, Saint Joseph, MO 64506-1504.
- What is Surgery Center of St. Joseph, LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgery Center of St. Joseph, LLC is (816) 279-0079.
- Does Surgery Center of St. Joseph, LLC accept Medicare?
- Surgery Center of St. Joseph, 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 Surgery Center of St. Joseph, LLC?
- The authorized official listed on Surgery Center of St. Joseph, LLC's NPPES record is Angela Fry, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgery Center of St. Joseph, LLC's NPI active?
- Yes — Surgery Center of St. Joseph, LLC's NPI (1104857523) is active in the NPPES registry as of the last update on 2012-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.