Sog Surgery Center LLC
NPI 1912480070 · Ambulatory Surgical Clinic/Center · Tupelo, MS
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sog Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Tupelo, MS (NPI 1912480070).
Provider details
- NPI number
- 1912480070
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Luster, Ceo(662) 767-4200
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
31,173 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, Bupivacaine Liposome, 1 MgC9290 | 28,595 | $1 |
| Injection of Anesthetic Agent And/Or Steroid Into Other Nerve Or Branch64450 | 648 | $20 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 506 | $7,377 |
| Release of Wrist Ligament Using an Endoscope29848 | 238 | $640 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 212 | $7,591 |
| Replacement of Knee Joint on Side of Knee27446 | 142 |
Practice location
Mailing address
Additional practice locations (1)
- 1211 S Gloster StTupelo, MS 38801-6535Phone: (417) 889-2040
Registry dates
- Enumerated
- 2018-09-13
- Last updated
- 2020-06-04
- Certified
- 2020-06-04
Frequently asked questions
- What is Sog Surgery Center LLC's NPI number?
- Sog Surgery Center LLC's National Provider Identifier (NPI) is 1912480070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sog Surgery Center LLC?
- Sog Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sog Surgery Center LLC located?
- Sog Surgery Center LLC's practice location on file with NPPES is 1211 S Gloster St Ste B, Tupelo, MS 38801-6535.
- What is Sog Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Sog Surgery Center LLC is (662) 432-1490.
- Does Sog Surgery Center LLC accept Medicare?
- Sog 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 Sog Surgery Center LLC?
- The authorized official listed on Sog Surgery Center LLC's NPPES record is Thomas Luster, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sog Surgery Center LLC's NPI active?
- Yes — Sog Surgery Center LLC's NPI (1912480070) is active in the NPPES registry as of the last update on 2020-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.