Bloomington Advanced Surgery Center, LLC
NPI 1467128819 · Ambulatory Surgical Clinic/Center · Bloomington, IN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bloomington Advanced Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Bloomington, IN (NPI 1467128819).
Provider details
- NPI number
- 1467128819
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wesley Lackey, Medical Director(317) 455-1064
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
4 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
51,782 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 | 42,029 | $1 |
| Instillation, Bupivacaine and Meloxicam, 1 Mg/0.03 MgC9088 | 9,200 | $1 |
| Imaging Guidance for Procedure, 60 Minutes Or Less76000 | 324 | $14 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 119 | $8,386 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 72 | $8,532 |
| Replacement of Knee Joint on Side of Knee27446 | 38 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bloomington Advanced Surgery Center
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2021-08-17
- Certified
- 2021-08-17
Frequently asked questions
- What is Bloomington Advanced Surgery Center, LLC's NPI number?
- Bloomington Advanced Surgery Center, LLC's National Provider Identifier (NPI) is 1467128819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bloomington Advanced Surgery Center, LLC?
- Bloomington Advanced Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bloomington Advanced Surgery Center, LLC located?
- Bloomington Advanced Surgery Center, LLC's practice location on file with NPPES is 445 S Landmark Ave, Bloomington, IN 47403-5004.
- What is Bloomington Advanced Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bloomington Advanced Surgery Center, LLC is (708) 275-7799.
- Does Bloomington Advanced Surgery Center, LLC accept Medicare?
- Bloomington Advanced Surgery Center, 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 Bloomington Advanced Surgery Center, LLC?
- The authorized official listed on Bloomington Advanced Surgery Center, LLC's NPPES record is Wesley Lackey, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bloomington Advanced Surgery Center, LLC's NPI active?
- Yes — Bloomington Advanced Surgery Center, LLC's NPI (1467128819) is active in the NPPES registry as of the last update on 2021-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.