Four States Surgery Center, PC
NPI 1508813627 · Ambulatory Surgical Clinic/Center · Joplin, MO
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Four States Surgery Center, PC is a Ambulatory Surgical Clinic/Center organization in Joplin, MO (NPI 1508813627).
Provider details
- NPI number
- 1508813627
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mindy Randles, Director of Rev Cycle(417) 887-3900
- License
- 157-1 (MO)
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
1,150 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) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 900 | $983 |
| Removal of Recurring Cataract in Lens Capsule Using a Laser66821 | 165 | $214 |
| Laser Repair to Improve Eye Fluid Flow65855 | 22 | $89 |
| Dilation of Fluid Outflow Drainage Within Eye66174 | 22 | $1,750 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 22 | $967 |
| Incision to Improve Eye Fluid Flow65820 | 19 | $1,750 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Four States Surgery Center,
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Frequently asked questions
- What is Four States Surgery Center, PC's NPI number?
- Four States Surgery Center, PC's National Provider Identifier (NPI) is 1508813627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four States Surgery Center, PC?
- Four States Surgery Center, PC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Four States Surgery Center, PC located?
- Four States Surgery Center, PC's practice location on file with NPPES is 1905 W 32nd St Ste 201, Joplin, MO 64804-1512.
- What is Four States Surgery Center, PC's phone number?
- The practice phone number listed in the NPPES registry for Four States Surgery Center, PC is (417) 206-7900.
- Does Four States Surgery Center, PC accept Medicare?
- Four States Surgery Center, PC 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 Four States Surgery Center, PC?
- The authorized official listed on Four States Surgery Center, PC's NPPES record is Mindy Randles, Director of Rev Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four States Surgery Center, PC's NPI active?
- Yes — Four States Surgery Center, PC's NPI (1508813627) is active in the NPPES registry as of the last update on 2024-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.