Surgery Center of Scottsdale LLC
NPI 1396174454 · Ambulatory Surgical Clinic/Center · Glendale, AZ
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgery Center of Scottsdale LLC is a Ambulatory Surgical Clinic/Center organization in Glendale, AZ (NPI 1396174454).
Provider details
- NPI number
- 1396174454
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Boon, Officer/Authorized Official(480) 567-0269
- License
- OSC6638 (AZ)
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
12 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
2,280 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 Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 651 | $377 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 309 | $660 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 298 | $347 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 171 | $30 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 144 | $353 |
| 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
- 2013-11-08
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Frequently asked questions
- What is Surgery Center of Scottsdale LLC's NPI number?
- Surgery Center of Scottsdale LLC's National Provider Identifier (NPI) is 1396174454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgery Center of Scottsdale LLC?
- Surgery Center of Scottsdale LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgery Center of Scottsdale LLC located?
- Surgery Center of Scottsdale LLC's practice location on file with NPPES is 18555 N 79th Ave, Glendale, AZ 85308-8370.
- What is Surgery Center of Scottsdale LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgery Center of Scottsdale LLC is (623) 776-2500.
- Does Surgery Center of Scottsdale LLC accept Medicare?
- Surgery Center of Scottsdale 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 Scottsdale LLC?
- The authorized official listed on Surgery Center of Scottsdale LLC's NPPES record is Eric Boon, Officer/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgery Center of Scottsdale LLC's NPI active?
- Yes — Surgery Center of Scottsdale LLC's NPI (1396174454) is active in the NPPES registry as of the last update on 2024-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.