Space Coast Surgery Center LLC
NPI 1164662912 · Ambulatory Surgical Clinic/Center · Merritt Island, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Space Coast Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Merritt Island, FL (NPI 1164662912).
Provider details
- NPI number
- 1164662912
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Baldock, Officer and Authorized Official(615) 234-5954
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
3,107 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 of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 552 | $335 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 491 | $386 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 354 | $632 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 316 | $327 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance62321 | 198 | $330 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without Arthrography |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-03-05
- Last updated
- 2022-11-01
- Certified
- 2022-11-01
Frequently asked questions
- What is Space Coast Surgery Center LLC's NPI number?
- Space Coast Surgery Center LLC's National Provider Identifier (NPI) is 1164662912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space Coast Surgery Center LLC?
- Space Coast Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Space Coast Surgery Center LLC located?
- Space Coast Surgery Center LLC's practice location on file with NPPES is 595 N Courtenay Pkwy, Merritt Island, FL 32953-4851.
- What is Space Coast Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Space Coast Surgery Center LLC is (813) 569-6500.
- Does Space Coast Surgery Center LLC accept Medicare?
- Space Coast 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 Space Coast Surgery Center LLC?
- The authorized official listed on Space Coast Surgery Center LLC's NPPES record is Jennifer Baldock, Officer and Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space Coast Surgery Center LLC's NPI active?
- Yes — Space Coast Surgery Center LLC's NPI (1164662912) is active in the NPPES registry as of the last update on 2022-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.