Skyline Surgery Center, LLC
NPI 1851552483 · Ambulatory Surgical Clinic/Center · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Skyline Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Pocatello, ID (NPI 1851552483).
Provider details
- NPI number
- 1851552483
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathryn Buckalew, Administrator(208) 785-3877
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
18 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
768 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) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 144 | $1,132 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 116 | $283 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 115 | $24 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 86 | $644 |
| Release And/Or Relocation of Hand Nerve64721 | 39 | $817 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance |
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Skyline Surgery Center Inc
- Former legal business name
- Skyline Surgery Center Inc
Registry dates
- Enumerated
- 2008-06-17
- Last updated
- 2018-05-31
Frequently asked questions
- What is Skyline Surgery Center, LLC's NPI number?
- Skyline Surgery Center, LLC's National Provider Identifier (NPI) is 1851552483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skyline Surgery Center, LLC?
- Skyline Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Skyline Surgery Center, LLC located?
- Skyline Surgery Center, LLC's practice location on file with NPPES is 285 Vista Dr, Pocatello, ID 83201.
- What is Skyline Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Skyline Surgery Center, LLC is (208) 478-1704.
- Does Skyline Surgery Center, LLC accept Medicare?
- Skyline 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 Skyline Surgery Center, LLC?
- The authorized official listed on Skyline Surgery Center, LLC's NPPES record is Kathryn Buckalew, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skyline Surgery Center, LLC's NPI active?
- Yes — Skyline Surgery Center, LLC's NPI (1851552483) is active in the NPPES registry as of the last update on 2018-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.