Fairlawn Surgery Center, LLC
NPI 1770802555 · Ambulatory Surgical Clinic/Center · Roanoke, VA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairlawn Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Roanoke, VA (NPI 1770802555).
Provider details
- NPI number
- 1770802555
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Evans, Co-Medical Director(540) 904-6170
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
16 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
572 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) |
|---|---|---|
| Insertion of Needle And/Or Tube Into Hemodialysis Circuit and Balloon Dilation of Dialysis Segment With Review By Radiologist36902 | 191 | $2,251 |
| Removal of Tunneled Central Venous Tube36589 | 67 | $293 |
| Insertion of Needle And/Or Tube Into Hemodialysis Circuit With Review By Radiologist36901 | 56 | $508 |
| Insertion of Tunneled Central Venous Tube for Infusion (5 Years Or Older)36558 | 39 | $1,333 |
| Insertion of Needle And/Or Tube Into Hemodialysis Circuit and Insertion of Stent in Dialysis Segment With Review By Radiologist36903 | 29 | $6,274 |
| Revision of Hemodialysis Graft36832 | 27 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-05-19
- Last updated
- 2016-08-09
Frequently asked questions
- What is Fairlawn Surgery Center, LLC's NPI number?
- Fairlawn Surgery Center, LLC's National Provider Identifier (NPI) is 1770802555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairlawn Surgery Center, LLC?
- Fairlawn Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fairlawn Surgery Center, LLC located?
- Fairlawn Surgery Center, LLC's practice location on file with NPPES is 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664.
- What is Fairlawn Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairlawn Surgery Center, LLC is (540) 904-6170.
- Does Fairlawn Surgery Center, LLC accept Medicare?
- Fairlawn 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 Fairlawn Surgery Center, LLC?
- The authorized official listed on Fairlawn Surgery Center, LLC's NPPES record is Ryan Evans, Co-Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairlawn Surgery Center, LLC's NPI active?
- Yes — Fairlawn Surgery Center, LLC's NPI (1770802555) is active in the NPPES registry as of the last update on 2016-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.