Surgery Center of Mount Dora, LLC
NPI 1164656740 · Ambulatory Surgical Clinic/Center · Mount Dora, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgery Center of Mount Dora, LLC is a Ambulatory Surgical Clinic/Center organization in Mount Dora, FL (NPI 1164656740).
Provider details
- NPI number
- 1164656740
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Juan Uson, Administrator(352) 383-1268
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
17 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
9,881 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 | 9,310 | $1 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 200 | $352 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 62 | $512 |
| Biopsy of Prostate Gland55700 | 36 | $853 |
| Ultrasound Scan of Pelvic Region Through Rectum76872 | 36 | $52 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2014-12-02
Frequently asked questions
- What is Surgery Center of Mount Dora, LLC's NPI number?
- Surgery Center of Mount Dora, LLC's National Provider Identifier (NPI) is 1164656740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgery Center of Mount Dora, LLC?
- Surgery Center of Mount Dora, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgery Center of Mount Dora, LLC located?
- Surgery Center of Mount Dora, LLC's practice location on file with NPPES is 3710 Lake Center Dr., Mount Dora, FL 32757.
- What is Surgery Center of Mount Dora, LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgery Center of Mount Dora, LLC is (352) 383-1268.
- Does Surgery Center of Mount Dora, LLC accept Medicare?
- Surgery Center of Mount Dora, 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 Mount Dora, LLC?
- The authorized official listed on Surgery Center of Mount Dora, LLC's NPPES record is Juan Uson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgery Center of Mount Dora, LLC's NPI active?
- Yes — Surgery Center of Mount Dora, LLC's NPI (1164656740) is active in the NPPES registry as of the last update on 2014-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.