Surgcenter of Fayetteville, LLC
NPI 1477178879 · Ambulatory Surgical Clinic/Center · Fayetteville, AR
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgcenter of Fayetteville, LLC is a Ambulatory Surgical Clinic/Center organization in Fayetteville, AR (NPI 1477178879).
Provider details
- NPI number
- 1477178879
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelli Young, Adminsitrator(501) 554-1273
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
13,803 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 | 11,512 | $1 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 1,019 | $351 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 302 | $329 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 206 | $689 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin63650 | 167 | $4,423 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance62321 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-06-11
- Last updated
- 2020-06-11
- Certified
- 2020-06-11
Frequently asked questions
- What is Surgcenter of Fayetteville, LLC's NPI number?
- Surgcenter of Fayetteville, LLC's National Provider Identifier (NPI) is 1477178879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgcenter of Fayetteville, LLC?
- Surgcenter of Fayetteville, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgcenter of Fayetteville, LLC located?
- Surgcenter of Fayetteville, LLC's practice location on file with NPPES is 1905 E Mission Blvd Ste 5, Fayetteville, AR 72703-3129.
- What is Surgcenter of Fayetteville, LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgcenter of Fayetteville, LLC is (501) 554-1273.
- Does Surgcenter of Fayetteville, LLC accept Medicare?
- Surgcenter of Fayetteville, 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 Surgcenter of Fayetteville, LLC?
- The authorized official listed on Surgcenter of Fayetteville, LLC's NPPES record is Kelli Young, Adminsitrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgcenter of Fayetteville, LLC's NPI active?
- Yes — Surgcenter of Fayetteville, LLC's NPI (1477178879) is active in the NPPES registry as of the last update on 2020-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.