Physicians Surgery Center at Good Samaritan, LLC
NPI 1285980151 · Ambulatory Surgical Clinic/Center · Mount Vernon, IL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Physicians Surgery Center at Good Samaritan, LLC is a Ambulatory Surgical Clinic/Center organization in Mount Vernon, IL (NPI 1285980151).
Provider details
- NPI number
- 1285980151
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joon Ahn, Authorized Official - Owner(618) 899-5703
- License
- 7003172 (IL)
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
14 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
394 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 | 220 | $1,067 |
| Release of Wrist Ligament Using an Endoscope29848 | 72 | $703 |
| Repair of Shoulder Rotator Cuff Using an Endoscope29827 | 33 | $2,968 |
| Exam With Injections of Chemical for Destruction of Bladder Using an Endoscope52287 | 25 | $811 |
| Crushing of Stone of Ureter With Insertion of Stent Using an Endoscope52356 | 19 | $2,003 |
| Shock Wave Crushing of Kidney Stones50590 | 13 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Good Samaritan Surgery Center
- Doing business as
- Good Samaritan Surgery Center
Registry dates
- Enumerated
- 2012-07-30
- Last updated
- 2025-01-08
- Certified
- 2025-01-08
Frequently asked questions
- What is Physicians Surgery Center at Good Samaritan, LLC's NPI number?
- Physicians Surgery Center at Good Samaritan, LLC's National Provider Identifier (NPI) is 1285980151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physicians Surgery Center at Good Samaritan, LLC?
- Physicians Surgery Center at Good Samaritan, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Physicians Surgery Center at Good Samaritan, LLC located?
- Physicians Surgery Center at Good Samaritan, LLC's practice location on file with NPPES is 2 Good Samaritan Way, Mount Vernon, IL 62864-2476.
- What is Physicians Surgery Center at Good Samaritan, LLC's phone number?
- The practice phone number listed in the NPPES registry for Physicians Surgery Center at Good Samaritan, LLC is (618) 899-5703.
- Does Physicians Surgery Center at Good Samaritan, LLC accept Medicare?
- Physicians Surgery Center at Good Samaritan, 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 Physicians Surgery Center at Good Samaritan, LLC?
- The authorized official listed on Physicians Surgery Center at Good Samaritan, LLC's NPPES record is Joon Ahn, Authorized Official - Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physicians Surgery Center at Good Samaritan, LLC's NPI active?
- Yes — Physicians Surgery Center at Good Samaritan, LLC's NPI (1285980151) is active in the NPPES registry as of the last update on 2025-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.