Ambulatory Surgery Center of Burley, LLC
NPI 1992706840 · Ambulatory Surgical Clinic/Center · Burley, ID
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ambulatory Surgery Center of Burley, LLC is a Ambulatory Surgical Clinic/Center organization in Burley, ID (NPI 1992706840).
Provider details
- NPI number
- 1992706840
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Petersen, Ceo(208) 677-8888
Specialties & taxonomies
Ambulatory Health Care Facilities
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
21 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
526 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 | 110 | $352 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 105 | $316 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 80 | $254 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 77 | $309 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 61 | $579 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-02
- Last updated
- 2017-08-17
Frequently asked questions
- What is Ambulatory Surgery Center of Burley, LLC's NPI number?
- Ambulatory Surgery Center of Burley, LLC's National Provider Identifier (NPI) is 1992706840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ambulatory Surgery Center of Burley, LLC?
- Ambulatory Surgery Center of Burley, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ambulatory Surgery Center of Burley, LLC located?
- Ambulatory Surgery Center of Burley, LLC's practice location on file with NPPES is 1344 Hiland Ave, Burley, ID 83318-1564.
- What is Ambulatory Surgery Center of Burley, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ambulatory Surgery Center of Burley, LLC is (208) 677-8888.
- Does Ambulatory Surgery Center of Burley, LLC accept Medicare?
- Ambulatory Surgery Center of Burley, 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 Ambulatory Surgery Center of Burley, LLC?
- The authorized official listed on Ambulatory Surgery Center of Burley, LLC's NPPES record is Joseph Petersen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ambulatory Surgery Center of Burley, LLC's NPI active?
- Yes — Ambulatory Surgery Center of Burley, LLC's NPI (1992706840) is active in the NPPES registry as of the last update on 2017-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.