Optimum Surgical Center, LLC
NPI 1992238661 · Ambulatory Surgical Clinic/Center · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optimum Surgical Center, LLC is a Ambulatory Surgical Clinic/Center organization in Phoenix, AZ (NPI 1992238661).
Provider details
- NPI number
- 1992238661
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Grant Cook, Owner/Manager(602) 313-8110
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
9 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
637 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) |
|---|---|---|
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 96 | $666 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 82 | $349 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 80 | $395 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 68 | $347 |
| Heat Destruction of Intraosseous Basivertebral Nerve in Bones of Spine in Lower Back, First Two Bones64628 | 60 | $9,168 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin |
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Nascent Paradise Valley Surgical Center
Additional practice locations (1)
- 6245 N 16th StPhoenix, AZ 85016-1706Phone: (480) 766-6819
Registry dates
- Enumerated
- 2017-04-09
- Last updated
- 2020-04-23
- Certified
- 2020-04-23
Frequently asked questions
- What is Optimum Surgical Center, LLC's NPI number?
- Optimum Surgical Center, LLC's National Provider Identifier (NPI) is 1992238661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optimum Surgical Center, LLC?
- Optimum Surgical Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Optimum Surgical Center, LLC located?
- Optimum Surgical Center, LLC's practice location on file with NPPES is 20045 N 19th Ave Bldg 12, Phoenix, AZ 85027-4270.
- What is Optimum Surgical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Optimum Surgical Center, LLC is (480) 766-6819.
- Does Optimum Surgical Center, LLC accept Medicare?
- Optimum Surgical 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 Optimum Surgical Center, LLC?
- The authorized official listed on Optimum Surgical Center, LLC's NPPES record is Grant Cook, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optimum Surgical Center, LLC's NPI active?
- Yes — Optimum Surgical Center, LLC's NPI (1992238661) is active in the NPPES registry as of the last update on 2020-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.