Watauga Surgical Partners PLLC
NPI 1194437624 · Ambulatory Surgical Clinic/Center · Kingsport, TN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Watauga Surgical Partners PLLC is a Ambulatory Surgical Clinic/Center organization in Kingsport, TN (NPI 1194437624).
Provider details
- NPI number
- 1194437624
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kim Marden, Chief Executive Officer(423) 282-9011
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
3 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
10,338 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 | 9,710 | $1 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 131 | $7,795 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 76 | $7,851 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 75 | $646 |
| Release And/Or Relocation of Hand Nerve64721 | 51 | $722 |
| Incision of Tendon Covering of Finger26055 | 41 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-12-15
- Last updated
- 2022-12-15
- Certified
- 2022-12-15
Frequently asked questions
- What is Watauga Surgical Partners PLLC's NPI number?
- Watauga Surgical Partners PLLC's National Provider Identifier (NPI) is 1194437624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Watauga Surgical Partners PLLC?
- Watauga Surgical Partners PLLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Watauga Surgical Partners PLLC located?
- Watauga Surgical Partners PLLC's practice location on file with NPPES is 10425 Wallace Alley Street, Kingsport, TN 37663.
- What is Watauga Surgical Partners PLLC's phone number?
- The practice phone number listed in the NPPES registry for Watauga Surgical Partners PLLC is (423) 282-9011.
- Does Watauga Surgical Partners PLLC accept Medicare?
- Watauga Surgical Partners PLLC 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 Watauga Surgical Partners PLLC?
- The authorized official listed on Watauga Surgical Partners PLLC's NPPES record is Kim Marden, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Watauga Surgical Partners PLLC's NPI active?
- Yes — Watauga Surgical Partners PLLC's NPI (1194437624) is active in the NPPES registry as of the last update on 2022-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.