MELBOURNE SURGERY CENTER LLC NPI 1013309459

NPI Information

  • NPI: 1013309459
  • Provider Name: MELBOURNE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: MELBOURNE SURGERY CENTER
  • CLIA Number: 10D0898923
  • Address: 95 BULLDOG BLVD
    SUITE 104
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 952-9800

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NPI Details

MELBOURNE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Melbourne, FL. MELBOURNE SURGERY CENTER, LLC NPI is 1013309459. The provider is registered as an organization entity type.
The provider Is Doing Business As Melbourne Surgery Center.

The provider's business location address is:

95 BULLDOG BLVD
SUITE 104
MELBOURNE, FL
ZIP 32901-332
Phone: (321) 952-9800

The provider's authorized official is Peter J Clemens .
The authorized official title is Vp and has the following contact phone number (205) 545-2572.

The CLIA number assigned to this NPI record is 10D0898923 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Insertion of eye fluid drainage device (HCPCS:66183)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Release of nerve between tissue and ankle bone (HCPCS:28035)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Repair of groin hernia (5 years or older) (HCPCS:49505)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Correction of bunion with alignment correction of midfoot bone toward toe area (HCPCS:28296)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Insertion of sacral nerve neurostimulator electrode (HCPCS:64581)
  • Release and/or relocation of elbow nerve (HCPCS:64718)

The enumeration date for this NPI number is 2/23/2015 and was last updated on 2/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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