Executive Surgery Center of Little Rock, LLC
NPI 1386177376 · Ambulatory Surgical Clinic/Center · Little Rock, AR
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Executive Surgery Center of Little Rock, LLC is a Ambulatory Surgical Clinic/Center organization in Little Rock, AR (NPI 1386177376).
Provider details
- NPI number
- 1386177376
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Britney Smith, Administrator(501) 312-2121
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
9 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
767 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) |
|---|---|---|
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 343 | $615 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 131 | $332 |
| Destruction of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64633 | 91 | $623 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 76 | $421 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 61 | $334 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-04-06
- Last updated
- 2020-10-13
- Certified
- 2020-10-13
Frequently asked questions
- What is Executive Surgery Center of Little Rock, LLC's NPI number?
- Executive Surgery Center of Little Rock, LLC's National Provider Identifier (NPI) is 1386177376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Surgery Center of Little Rock, LLC?
- Executive Surgery Center of Little Rock, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Executive Surgery Center of Little Rock, LLC located?
- Executive Surgery Center of Little Rock, LLC's practice location on file with NPPES is 11220 Executive Center Dr, Little Rock, AR 72211-4320.
- What is Executive Surgery Center of Little Rock, LLC's phone number?
- The practice phone number listed in the NPPES registry for Executive Surgery Center of Little Rock, LLC is (501) 312-2121.
- Does Executive Surgery Center of Little Rock, LLC accept Medicare?
- Executive Surgery Center of Little Rock, 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 Executive Surgery Center of Little Rock, LLC?
- The authorized official listed on Executive Surgery Center of Little Rock, LLC's NPPES record is Britney Smith, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Surgery Center of Little Rock, LLC's NPI active?
- Yes — Executive Surgery Center of Little Rock, LLC's NPI (1386177376) is active in the NPPES registry as of the last update on 2020-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.