Cherry Street Surgery Center, LLC
NPI 1902960198 · Clinic/Center · Tulsa, OK
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cherry Street Surgery Center, LLC is a Clinic/Center organization in Tulsa, OK (NPI 1902960198).
Provider details
- NPI number
- 1902960198
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Mathers, Medical Director(918) 749-7177
- License
- 0046 (OK)
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
19 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
478 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 Spinal Neurostimulator Electrode Array Through Skin63650 | 117 | $4,369 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 98 | $373 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 52 | $275 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance62321 | 43 | $322 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 43 | $322 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2008-10-07
Frequently asked questions
- What is Cherry Street Surgery Center, LLC's NPI number?
- Cherry Street Surgery Center, LLC's National Provider Identifier (NPI) is 1902960198, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cherry Street Surgery Center, LLC?
- Cherry Street Surgery Center, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cherry Street Surgery Center, LLC located?
- Cherry Street Surgery Center, LLC's practice location on file with NPPES is 1844 E 15th St, Tulsa, OK 74104-4611.
- What is Cherry Street Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Cherry Street Surgery Center, LLC is (918) 749-7177.
- Does Cherry Street Surgery Center, LLC accept Medicare?
- Cherry Street 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 Cherry Street Surgery Center, LLC?
- The authorized official listed on Cherry Street Surgery Center, LLC's NPPES record is Mark Mathers, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cherry Street Surgery Center, LLC's NPI active?
- Yes — Cherry Street Surgery Center, LLC's NPI (1902960198) is active in the NPPES registry as of the last update on 2008-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.