Advanced Surgical Technology, LLC
NPI 1497159024 · Surgery Physician · Mount Vernon, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Surgical Technology, LLC is a Surgery Physician organization in Mount Vernon, IL (NPI 1497159024).
Provider details
- NPI number
- 1497159024
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandra Adams, Office Administrator(618) 969-8317
- License
- 036115674 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-10-10
- Last updated
- 2019-07-17
Frequently asked questions
- What is Advanced Surgical Technology, LLC's NPI number?
- Advanced Surgical Technology, LLC's National Provider Identifier (NPI) is 1497159024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Surgical Technology, LLC?
- Advanced Surgical Technology, LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Surgical Technology, LLC located?
- Advanced Surgical Technology, LLC's practice location on file with NPPES is 4200 Williamson Pl Ste 1a, Mount Vernon, IL 62864-6705.
- What is Advanced Surgical Technology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Surgical Technology, LLC is (618) 899-9200.
- Does Advanced Surgical Technology, LLC accept Medicare?
- Advanced Surgical Technology, 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 Advanced Surgical Technology, LLC?
- The authorized official listed on Advanced Surgical Technology, LLC's NPPES record is Sandra Adams, Office Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Surgical Technology, LLC's NPI active?
- Yes — Advanced Surgical Technology, LLC's NPI (1497159024) is active in the NPPES registry as of the last update on 2019-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.