Northern Lakes Surgery Center LLC
NPI 1649922485 · Ambulatory Surgical Clinic/Center · Moose Lake, MN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Lakes Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Moose Lake, MN (NPI 1649922485).
Provider details
- NPI number
- 1649922485
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lori Peck, Svp- Chief Financial Officer(715) 847-2575
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
4 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
208 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) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 38 | $539 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 38 | $348 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 32 | $1,145 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 29 | $306 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 22 | $351 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Northern Lakes Surgery Center LLC
Registry dates
- Enumerated
- 2022-01-24
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is Northern Lakes Surgery Center LLC's NPI number?
- Northern Lakes Surgery Center LLC's National Provider Identifier (NPI) is 1649922485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Lakes Surgery Center LLC?
- Northern Lakes Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northern Lakes Surgery Center LLC located?
- Northern Lakes Surgery Center LLC's practice location on file with NPPES is 4791 County Road 10, Moose Lake, MN 55767-9221.
- What is Northern Lakes Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Northern Lakes Surgery Center LLC is (218) 249-5357.
- Does Northern Lakes Surgery Center LLC accept Medicare?
- Northern Lakes 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 Northern Lakes Surgery Center LLC?
- The authorized official listed on Northern Lakes Surgery Center LLC's NPPES record is Lori Peck, Svp- Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Lakes Surgery Center LLC's NPI active?
- Yes — Northern Lakes Surgery Center LLC's NPI (1649922485) is active in the NPPES registry as of the last update on 2026-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.