The Surgerycenter at Sacred Heart Medical Park, LLC
NPI 1639164916 · Ambulatory Surgical Clinic/Center · Destin, FL
The Surgerycenter at Sacred Heart Medical Park, LLC is a Ambulatory Surgical Clinic/Center organization in Destin, FL (NPI 1639164916).
Provider details
- NPI number
- 1639164916
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Deroberto, Cfo(850) 460-2466
- License
- 1182 (FL)
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
1,349 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 of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 233 | $392 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 205 | $336 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 174 | $340 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 148 | $263 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 125 | $338 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-13
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is The Surgerycenter at Sacred Heart Medical Park, LLC's NPI number?
- The Surgerycenter at Sacred Heart Medical Park, LLC's National Provider Identifier (NPI) is 1639164916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Surgerycenter at Sacred Heart Medical Park, LLC?
- The Surgerycenter at Sacred Heart Medical Park, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is The Surgerycenter at Sacred Heart Medical Park, LLC located?
- The Surgerycenter at Sacred Heart Medical Park, LLC's practice location on file with NPPES is 36500 Emerald Coast Pkwy, Destin, FL 32541-4713.
- What is The Surgerycenter at Sacred Heart Medical Park, LLC's phone number?
- The practice phone number listed in the NPPES registry for The Surgerycenter at Sacred Heart Medical Park, LLC is (850) 269-0301.
- Who is the authorized official for The Surgerycenter at Sacred Heart Medical Park, LLC?
- The authorized official listed on The Surgerycenter at Sacred Heart Medical Park, LLC's NPPES record is Daniel Deroberto, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Surgerycenter at Sacred Heart Medical Park, LLC's NPI active?
- Yes — The Surgerycenter at Sacred Heart Medical Park, LLC's NPI (1639164916) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.