Surgicare Center of Idaho, LLC
NPI 1114923471 · Ambulatory Surgical Clinic/Center · Boise, ID
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgicare Center of Idaho, LLC is a Ambulatory Surgical Clinic/Center organization in Boise, ID (NPI 1114923471).
Provider details
- NPI number
- 1114923471
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Louis Pennow, Director(208) 336-8700
Specialties & taxonomies
Ambulatory Health Care Facilities
- Ophthalmologic Surgery Clinic/Center261QS0132X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
21 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
1,800 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 | 924 | $1,093 |
| Removal of Recurring Cataract in Lens Capsule Using a Laser66821 | 490 | $282 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 84 | $1,090 |
| Laser Repair to Improve Eye Fluid Flow65855 | 74 | $127 |
| Extracapsular Removal of Cataract With Insertion of Artificial Lens and Insertion of Drainage Device in Front Chamber of Eye66991 | 69 | $3,504 |
| Phenylephrine 10.16 Mg/Ml and Ketorolac 2.88 Mg/Ml Ophthalmic Irrigation Solution, 1 MlJ1097 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-06-22
- Last updated
- 2016-10-10
Frequently asked questions
- What is Surgicare Center of Idaho, LLC's NPI number?
- Surgicare Center of Idaho, LLC's National Provider Identifier (NPI) is 1114923471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgicare Center of Idaho, LLC?
- Surgicare Center of Idaho, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgicare Center of Idaho, LLC located?
- Surgicare Center of Idaho, LLC's practice location on file with NPPES is 360 E Mallard Dr, Boise, ID 83706-3941.
- What is Surgicare Center of Idaho, LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgicare Center of Idaho, LLC is (208) 336-8700.
- Does Surgicare Center of Idaho, LLC accept Medicare?
- Surgicare Center of Idaho, 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 Surgicare Center of Idaho, LLC?
- The authorized official listed on Surgicare Center of Idaho, LLC's NPPES record is Louis Pennow, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgicare Center of Idaho, LLC's NPI active?
- Yes — Surgicare Center of Idaho, LLC's NPI (1114923471) is active in the NPPES registry as of the last update on 2016-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.