Canyon Pain Surgery Center
NPI 1972217180 · Ambulatory Surgical Clinic/Center · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Pain Surgery Center is a Ambulatory Surgical Clinic/Center organization in Mesa, AZ (NPI 1972217180).
Provider details
- NPI number
- 1972217180
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jody Smith, Administrator(480) 565-5925
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
3 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
321 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 | 56 | $404 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 49 | $353 |
| Heat Destruction of Intraosseous Basivertebral Nerve in Bones of Spine in Lower Back, First Two Bones64628 | 46 | $9,168 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin63650 | 42 | $4,828 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 41 | $844 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance |
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-11
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Frequently asked questions
- What is Canyon Pain Surgery Center's NPI number?
- Canyon Pain Surgery Center's National Provider Identifier (NPI) is 1972217180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Pain Surgery Center?
- Canyon Pain Surgery Center is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Canyon Pain Surgery Center located?
- Canyon Pain Surgery Center's practice location on file with NPPES is 4540 E Baseline Rd Ste 117, Mesa, AZ 85206-4617.
- What is Canyon Pain Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for Canyon Pain Surgery Center is (480) 561-0446.
- Does Canyon Pain Surgery Center accept Medicare?
- Canyon Pain Surgery Center 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 Canyon Pain Surgery Center?
- The authorized official listed on Canyon Pain Surgery Center's NPPES record is Jody Smith, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Pain Surgery Center's NPI active?
- Yes — Canyon Pain Surgery Center's NPI (1972217180) is active in the NPPES registry as of the last update on 2024-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.