St Joseph Center for Outpatient Surgery, LLC
NPI 1891759569 · Ambulatory Surgical Clinic/Center · Saint Joseph, MO
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Joseph Center for Outpatient Surgery, LLC is a Ambulatory Surgical Clinic/Center organization in Saint Joseph, MO (NPI 1891759569).
Provider details
- NPI number
- 1891759569
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alicia Edwards, Administrator(816) 364-9992
- License
- 1332 (MO)
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
20 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
1,724 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) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 283 | $257 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 214 | $526 |
| Balloon Dilation of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope, Less Than 3.0 Cm43249 | 181 | $755 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 173 | $428 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 140 | $8,182 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-12
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Frequently asked questions
- What is St Joseph Center for Outpatient Surgery, LLC's NPI number?
- St Joseph Center for Outpatient Surgery, LLC's National Provider Identifier (NPI) is 1891759569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Joseph Center for Outpatient Surgery, LLC?
- St Joseph Center for Outpatient Surgery, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is St Joseph Center for Outpatient Surgery, LLC located?
- St Joseph Center for Outpatient Surgery, LLC's practice location on file with NPPES is 4510 Frederick Ave, Saint Joseph, MO 64506-3238.
- What is St Joseph Center for Outpatient Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for St Joseph Center for Outpatient Surgery, LLC is (816) 364-9992.
- Does St Joseph Center for Outpatient Surgery, LLC accept Medicare?
- St Joseph Center for Outpatient Surgery, 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 St Joseph Center for Outpatient Surgery, LLC?
- The authorized official listed on St Joseph Center for Outpatient Surgery, LLC's NPPES record is Alicia Edwards, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Joseph Center for Outpatient Surgery, LLC's NPI active?
- Yes — St Joseph Center for Outpatient Surgery, LLC's NPI (1891759569) is active in the NPPES registry as of the last update on 2025-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.