Monticello Community Surgery Center, LLC
NPI 1629045133 · Ambulatory Surgical Clinic/Center · Charlottesville, VA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1629045133
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessie Wagner, Administrator(434) 971-3406
- License
- OH 662 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
5,168 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 | 2,720 | $1,047 |
| Dexamethasone, Lacrimal Ophthalmic Insert, 0.1 MgJ1096 | 1,452 | $115 |
| Phenylephrine 10.16 Mg/Ml and Ketorolac 2.88 Mg/Ml Ophthalmic Irrigation Solution, 1 MlJ1097 | 332 | $96 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 110 | $1,032 |
| Incision to Improve Eye Fluid Flow65820 | 88 | $1,823 |
| Transplantation of Outer Layer of Corneal Tissue65756 | 56 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Uva Health Surgical Care Riverside
Registry dates
- Enumerated
- 2006-03-02
- Last updated
- 2023-06-02
- Certified
- 2023-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.