Clearway Surgery Center of Crestview, LLC
NPI 1477108900 · Ambulatory Surgical Clinic/Center · Crestview, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clearway Surgery Center of Crestview, LLC is a Ambulatory Surgical Clinic/Center organization in Crestview, FL (NPI 1477108900).
Provider details
- NPI number
- 1477108900
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kacey Montgomery, Regional Medical Director(850) 791-6895
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
6 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
449 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 Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 101 | $335 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 82 | $343 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 73 | $611 |
| Destruction of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64633 | 41 | $697 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 36 | $275 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin63650 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-01
- Last updated
- 2022-05-17
- Certified
- 2022-05-17
Frequently asked questions
- What is Clearway Surgery Center of Crestview, LLC's NPI number?
- Clearway Surgery Center of Crestview, LLC's National Provider Identifier (NPI) is 1477108900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clearway Surgery Center of Crestview, LLC?
- Clearway Surgery Center of Crestview, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Clearway Surgery Center of Crestview, LLC located?
- Clearway Surgery Center of Crestview, LLC's practice location on file with NPPES is 180a E Redstone Ave, Crestview, FL 32539-5348.
- What is Clearway Surgery Center of Crestview, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clearway Surgery Center of Crestview, LLC is (850) 484-4080.
- Does Clearway Surgery Center of Crestview, LLC accept Medicare?
- Clearway Surgery Center of Crestview, 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 Clearway Surgery Center of Crestview, LLC?
- The authorized official listed on Clearway Surgery Center of Crestview, LLC's NPPES record is Kacey Montgomery, Regional Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clearway Surgery Center of Crestview, LLC's NPI active?
- Yes — Clearway Surgery Center of Crestview, LLC's NPI (1477108900) is active in the NPPES registry as of the last update on 2022-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.