Surgery Center of Southwest Ohio, LLC
NPI 1568094399 · Ambulatory Surgical Clinic/Center · Moraine, OH
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgery Center of Southwest Ohio, LLC is a Ambulatory Surgical Clinic/Center organization in Moraine, OH (NPI 1568094399).
Provider details
- NPI number
- 1568094399
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Gavigan, Member Manager(615) 397-9187
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
249 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 | 131 | $1,057 |
| Removal of Nasal Air Passage Under Lining Tissue30140 | 36 | $590 |
| Evaluation of Sleep-Disordered Breathing By Examination of Upper Airway Using an Endoscope42975 | 27 | $646 |
| Removal of Nasal Sinus Tissue Using an Endoscope31267 | 25 | $1,361 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 16 | $1,022 |
| Reshaping of Nasal Cartilage30520 | 14 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Surgery Center of Southwest Ohio
Registry dates
- Enumerated
- 2020-02-10
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Frequently asked questions
- What is Surgery Center of Southwest Ohio, LLC's NPI number?
- Surgery Center of Southwest Ohio, LLC's National Provider Identifier (NPI) is 1568094399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgery Center of Southwest Ohio, LLC?
- Surgery Center of Southwest Ohio, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgery Center of Southwest Ohio, LLC located?
- Surgery Center of Southwest Ohio, LLC's practice location on file with NPPES is 2210 Arbor Blvd Ste 1a, Moraine, OH 45439-1522.
- What is Surgery Center of Southwest Ohio, LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgery Center of Southwest Ohio, LLC is (615) 397-9187.
- Does Surgery Center of Southwest Ohio, LLC accept Medicare?
- Surgery Center of Southwest Ohio, 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 Surgery Center of Southwest Ohio, LLC?
- The authorized official listed on Surgery Center of Southwest Ohio, LLC's NPPES record is William Gavigan, Member Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgery Center of Southwest Ohio, LLC's NPI active?
- Yes — Surgery Center of Southwest Ohio, LLC's NPI (1568094399) is active in the NPPES registry as of the last update on 2021-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.