Renaissance Surgery Center, LLC
NPI 1780157990 · Ambulatory Surgical Clinic/Center · Bristol, TN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renaissance Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Bristol, TN (NPI 1780157990).
Provider details
- NPI number
- 1780157990
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randall Sermons, Owner(423) 857-2028
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
7 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
928 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 Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 295 | $358 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 224 | $309 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 107 | $769 |
| Repair of Pelvic Ligaments Through Vagina57282 | 47 | $2,650 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 41 | $7,619 |
| Repair of Bladder Hernia Into Vaginal Wall57240 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-01-10
- Last updated
- 2022-03-16
- Certified
- 2022-03-16
Frequently asked questions
- What is Renaissance Surgery Center, LLC's NPI number?
- Renaissance Surgery Center, LLC's National Provider Identifier (NPI) is 1780157990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renaissance Surgery Center, LLC?
- Renaissance Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Renaissance Surgery Center, LLC located?
- Renaissance Surgery Center, LLC's practice location on file with NPPES is 320 Bristol West Blvd Ste 1a, Bristol, TN 37620-8773.
- What is Renaissance Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Renaissance Surgery Center, LLC is (423) 844-1399.
- Does Renaissance Surgery Center, LLC accept Medicare?
- Renaissance 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 Renaissance Surgery Center, LLC?
- The authorized official listed on Renaissance Surgery Center, LLC's NPPES record is Randall Sermons, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renaissance Surgery Center, LLC's NPI active?
- Yes — Renaissance Surgery Center, LLC's NPI (1780157990) is active in the NPPES registry as of the last update on 2022-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.