Methodist Mansfield Ambulatory Surgery Center, LLC
NPI 1700419678 · Ambulatory Surgical Clinic/Center · Mansfield, TX
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Methodist Mansfield Ambulatory Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Mansfield, TX (NPI 1700419678).
Provider details
- NPI number
- 1700419678
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Baldock, Officer and Authorized Official(615) 234-5954
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
6 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
9,950 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 | 9,443 | $1 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 71 | $580 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 62 | $381 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 56 | $344 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 51 | $272 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-19
- Last updated
- 2023-08-22
- Certified
- 2023-08-22
Frequently asked questions
- What is Methodist Mansfield Ambulatory Surgery Center, LLC's NPI number?
- Methodist Mansfield Ambulatory Surgery Center, LLC's National Provider Identifier (NPI) is 1700419678, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Methodist Mansfield Ambulatory Surgery Center, LLC?
- Methodist Mansfield Ambulatory Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Methodist Mansfield Ambulatory Surgery Center, LLC located?
- Methodist Mansfield Ambulatory Surgery Center, LLC's practice location on file with NPPES is 252 Matlock Rd Ste 430, Mansfield, TX 76063-6565.
- What is Methodist Mansfield Ambulatory Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Methodist Mansfield Ambulatory Surgery Center, LLC is (817) 242-3600.
- Does Methodist Mansfield Ambulatory Surgery Center, LLC accept Medicare?
- Methodist Mansfield Ambulatory 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 Methodist Mansfield Ambulatory Surgery Center, LLC?
- The authorized official listed on Methodist Mansfield Ambulatory Surgery Center, LLC's NPPES record is Jennifer Baldock, Officer and Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Methodist Mansfield Ambulatory Surgery Center, LLC's NPI active?
- Yes — Methodist Mansfield Ambulatory Surgery Center, LLC's NPI (1700419678) is active in the NPPES registry as of the last update on 2023-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.