Providence Surgery Center
NPI 1407860745 · Ambulatory Surgical Clinic/Center · Missoula, MT
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Surgery Center is a Ambulatory Surgical Clinic/Center organization in Missoula, MT (NPI 1407860745).
Provider details
- NPI number
- 1407860745
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shelley Longgood, Administrator(406) 327-3300
- License
- 10708 (MT)
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
20 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
23,263 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) |
|---|---|---|
| Instillation, Bupivacaine and Meloxicam, 1 Mg/0.03 MgC9088 | 21,600 | $1 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 561 | $376 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 317 | $347 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 187 | $330 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 152 | $653 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2024-12-31
- Certified
- 2024-12-31
Frequently asked questions
- What is Providence Surgery Center's NPI number?
- Providence Surgery Center's National Provider Identifier (NPI) is 1407860745, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Surgery Center?
- Providence Surgery Center is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Surgery Center located?
- Providence Surgery Center's practice location on file with NPPES is 902 N Orange St, Missoula, MT 59802-2916.
- What is Providence Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for Providence Surgery Center is (406) 327-3300.
- Does Providence Surgery Center accept Medicare?
- Providence Surgery Center 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 Providence Surgery Center?
- The authorized official listed on Providence Surgery Center's NPPES record is Shelley Longgood, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Surgery Center's NPI active?
- Yes — Providence Surgery Center's NPI (1407860745) is active in the NPPES registry as of the last update on 2024-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.