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SEDALIA SURGERY CENTER, LLC
NPI 1063493443
Clinic/Center - Ambulatory Surgical in Sedalia, MO

Active since November 11, 2005CLIA 26D1006211 · Waiver
3310 W 10TH ST, SEDALIA, MO 65301(660) 829-4024(660) 829-2971 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sedalia Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEDALIA SURGERY CENTER, LLC (NPI 1063493443) is a healthcare organization registered as an ambulatory surgical in Sedalia, Missouri and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Phyllis Fischer, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063493443
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSEDALIA SURGERY CENTER, LLC
Location Address3310 W 10TH STSedalia, MO 65301-2111
Mailing Address3310 W 10th StSedalia, MO 65301-2111 · (660) 829-4024 · Fax (660) 829-2971
Phone(660) 829-4024
Fax(660) 829-2971
Organization SubpartNo
Authorized OfficialPhyllis FischerBusiness Office Manager · (660) 829-4024
Enumeration DateNovember 11, 2005
Last NPPES UpdateJuly 7, 2008
✔ NPI 1063493443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MO · 261QA1903X
3310 W 10TH ST, Sedalia, MO 65301
Open in Google Maps ↗

Other Identifiers 8

Medicare ID-Type Unspecified9004189MO · Medicare Part B
Other43194001265301MO · Tricare
Other=========ASCMO · Mercy Health Plan
Other91125019MO · Blue Cross Blue Shield
Other91125019MO · Php
Medicare ID-Type Unspecified49005668MO · Railroad Medicare
Other491944012MO · Private Healthcare System
Medicaid506013507MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1006211

Sedalia Surgery Center · Sedalia, MO
Active · expires Nov 11, 2026
CLIA Number26D1006211
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorMark Cox MD
Laboratory Phone(660) 829-4024
Laboratory LocationSedalia Surgery Center3310 West 10th Street, Sedalia, MO 65301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
113 services113 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
109 services69 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
91 services91 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
88 services70 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
61 services61 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
52 services52 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNIE E KIBURZ CRNA
Nurse Anesthetist, Certified Registered
3310 W 10TH ST
SEDALIA, MO 65301
Pettis County (660) 829-4024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sedalia Surgery Center, LLC's NPI number?

The NPI number for Sedalia Surgery Center, LLC is 1063493443. It was assigned to this organization in the NPPES registry on November 11, 2005.

Where is Sedalia Surgery Center, LLC located?

Sedalia Surgery Center, LLC is located at 3310 W 10th St, Sedalia, MO 65301. The listed phone number is (660) 829-4024.

What is Sedalia Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Sedalia Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1006211) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sedalia Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Sedalia Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sedalia Surgery Center, LLC was last updated on July 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.