Crater Lake Surgery Center LLC
NPI 1679939318 · Ambulatory Surgical Clinic/Center · Medford, OR
Provider details
- NPI number
- 1679939318
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Savino, Member(541) 779-5228
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
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,644 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 Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 395 | $358 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 251 | $672 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 247 | $293 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 237 | $408 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 141 | $365 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 |
Practice location
Mailing address
Additional practice locations (1)
- 835 Bennett AveMedford, OR 97504-6715Phone: (541) 779-5228
Registry dates
- Enumerated
- 2016-01-11
- Last updated
- 2018-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.