Thr/Stt Southlake Asc, LLC
NPI 1982716106 · Ambulatory Surgical Clinic/Center · Southlake, TX
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thr/Stt Southlake Asc, LLC is a Ambulatory Surgical Clinic/Center organization in Southlake, TX (NPI 1982716106).
Provider details
- NPI number
- 1982716106
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Hebard, Ceo(817) 442-9300
- License
- 00000 (TX)
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
1,926 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 | 890 | $385 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 365 | $363 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 177 | $835 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 147 | $391 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 132 | $301 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Frequently asked questions
- What is Thr/Stt Southlake Asc, LLC's NPI number?
- Thr/Stt Southlake Asc, LLC's National Provider Identifier (NPI) is 1982716106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thr/Stt Southlake Asc, LLC?
- Thr/Stt Southlake Asc, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Thr/Stt Southlake Asc, LLC located?
- Thr/Stt Southlake Asc, LLC's practice location on file with NPPES is 290 Miron Dr, Southlake, TX 76092-7858.
- What is Thr/Stt Southlake Asc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Thr/Stt Southlake Asc, LLC is (817) 442-9300.
- Does Thr/Stt Southlake Asc, LLC accept Medicare?
- Thr/Stt Southlake Asc, 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 Thr/Stt Southlake Asc, LLC?
- The authorized official listed on Thr/Stt Southlake Asc, LLC's NPPES record is Mark Hebard, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thr/Stt Southlake Asc, LLC's NPI active?
- Yes — Thr/Stt Southlake Asc, LLC's NPI (1982716106) is active in the NPPES registry as of the last update on 2024-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.