Four Corners Ambulatory Surgery Center, LLC
NPI 1104990050 · Ambulatory Surgical Clinic/Center · Farmington, NM
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Four Corners Ambulatory Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Farmington, NM (NPI 1104990050).
Provider details
- NPI number
- 1104990050
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Redwing, Executive Director(505) 564-2300
- License
- 6701 (NM)
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
34,679 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) |
|---|---|---|
| Instillation, Bupivacaine and Meloxicam, 1 Mg/0.03 MgC9088 | 30,402 | $1 |
| Injection, Aprepitant, (aponvie), 1 MgC9145 | 2,980 | $2 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 798 | $1,056 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 112 | $1,062 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 70 | $8,002 |
| Extracapsular Removal of Cataract With Insertion of Artificial Lens and Insertion of Drainage Device in Front Chamber of Eye66991 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2010-04-08
Frequently asked questions
- What is Four Corners Ambulatory Surgery Center, LLC's NPI number?
- Four Corners Ambulatory Surgery Center, LLC's National Provider Identifier (NPI) is 1104990050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four Corners Ambulatory Surgery Center, LLC?
- Four Corners Ambulatory Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Four Corners Ambulatory Surgery Center, LLC located?
- Four Corners Ambulatory Surgery Center, LLC's practice location on file with NPPES is 2300 E 30th St Bldg a, Farmington, NM 87401-8991.
- What is Four Corners Ambulatory Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Four Corners Ambulatory Surgery Center, LLC is (505) 564-2300.
- Does Four Corners Ambulatory Surgery Center, LLC accept Medicare?
- Four Corners Ambulatory 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 Four Corners Ambulatory Surgery Center, LLC?
- The authorized official listed on Four Corners Ambulatory Surgery Center, LLC's NPPES record is Charles Redwing, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four Corners Ambulatory Surgery Center, LLC's NPI active?
- Yes — Four Corners Ambulatory Surgery Center, LLC's NPI (1104990050) is active in the NPPES registry as of the last update on 2010-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.