Provo Surgery Center, LLC
NPI 1639853757 · Ambulatory Surgical Clinic/Center · Provo, UT
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provo Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Provo, UT (NPI 1639853757).
Provider details
- NPI number
- 1639853757
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Adam Bergeson, Board Member(801) 660-7980
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
3 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
6,577 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, Bupivacaine Liposome, 1 MgC9290 | 6,391 | $1 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 34 | $1,025 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 30 | $8,511 |
| Crushing of Stone of Ureter With Insertion of Stent Using an Endoscope52356 | 30 | $2,092 |
| Imaging of Urinary Tract Following Injection of a Contrast Agent74420 | 30 | $188 |
| Repair of Shoulder Rotator Cuff Using an Endoscope29827 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Intermountain Health Surgery Center - Utah Valley
- Doing business as
- Intermountain Surgery Center - Utah Valley
Registry dates
- Enumerated
- 2023-06-09
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Frequently asked questions
- What is Provo Surgery Center, LLC's NPI number?
- Provo Surgery Center, LLC's National Provider Identifier (NPI) is 1639853757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provo Surgery Center, LLC?
- Provo Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Provo Surgery Center, LLC located?
- Provo Surgery Center, LLC's practice location on file with NPPES is 1157 N 300 W, Provo, UT 84604-6124.
- What is Provo Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Provo Surgery Center, LLC is (385) 283-1906.
- Does Provo Surgery Center, LLC accept Medicare?
- Provo Surgery Center, 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 Provo Surgery Center, LLC?
- The authorized official listed on Provo Surgery Center, LLC's NPPES record is Adam Bergeson, Board Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provo Surgery Center, LLC's NPI active?
- Yes — Provo Surgery Center, LLC's NPI (1639853757) is active in the NPPES registry as of the last update on 2025-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.