Old Moultrie Surgical Center Inc
NPI 1144326307 · Ambulatory Surgical Clinic/Center · St Augustine, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Old Moultrie Surgical Center Inc is a Ambulatory Surgical Clinic/Center organization in St Augustine, FL (NPI 1144326307).
Provider details
- NPI number
- 1144326307
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- George Sadowski, Medical Director(904) 797-6627
- License
- 1089 (FL)
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
245 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) |
|---|---|---|
| Insertion of Spinal Neurostimulator Electrode Array Through Skin63650 | 88 | $4,526 |
| Injection of Cell Or Tissue-Based Material Into Spinal Disc of Lower Back Accessed Through Skin, First Level0627T | 69 | $9,590 |
| Heat Destruction of Intraosseous Basivertebral Nerve in Bones of Spine in Lower Back, First Two Bones64628 | 53 | $8,514 |
| Insertion Or Replacement of Spinal Neurostimulator Generator Or Receiver63685 | 23 | $23,117 |
| Intermediate Repair of Wound of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 Cm12032 | 12 | $110 |
Typical Medicare-allowed amounts for these services range $110–$23,117 (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
- 2006-09-15
- Last updated
- 2009-08-03
Frequently asked questions
- What is Old Moultrie Surgical Center Inc's NPI number?
- Old Moultrie Surgical Center Inc's National Provider Identifier (NPI) is 1144326307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Moultrie Surgical Center Inc?
- Old Moultrie Surgical Center Inc is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Old Moultrie Surgical Center Inc located?
- Old Moultrie Surgical Center Inc's practice location on file with NPPES is 2460 Old Moultrie Road, St Augustine, FL 32086-4198.
- What is Old Moultrie Surgical Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Old Moultrie Surgical Center Inc is (904) 797-6627.
- Does Old Moultrie Surgical Center Inc accept Medicare?
- Old Moultrie Surgical Center Inc 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 Old Moultrie Surgical Center Inc?
- The authorized official listed on Old Moultrie Surgical Center Inc's NPPES record is George Sadowski, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Moultrie Surgical Center Inc's NPI active?
- Yes — Old Moultrie Surgical Center Inc's NPI (1144326307) is active in the NPPES registry as of the last update on 2009-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.