SYNERGY SPINE AND ORTHOPEDIC SURGERY CENTER, LLC
NPI 1104179878
Clinic/Center - Ambulatory Surgical in Warren, MI

Active since October 18, 2012CLIA 23D2054397 · Waiver
5504 E 12 MILE RD, WARREN, MI 48092(586) 838-2035 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Synergy Spine And Orthopedic Surgery Center, Llc NPPES

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

SYNERGY SPINE AND ORTHOPEDIC SURGERY CENTER, LLC (NPI 1104179878) is a healthcare organization registered as an ambulatory surgical in Warren, Michigan and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Kathryn Mary Pring, Vice-president Of Operations, as its authorized official.

NPPES Registry Identity

NPI1104179878
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSYNERGY SPINE AND ORTHOPEDIC SURGERY CENTER, LLC
Location Address5504 E 12 MILE RDWarren, MI 48092-4684
Mailing Address5504 West 12 Mile RoadWarren, MI 48092 · (586) 838-2035
Organization SubpartNo
Authorized OfficialKathryn Mary PringVice-president Of Operations · (586) 439-6314
Enumeration DateOctober 18, 2012
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1104179878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5504 E 12 MILE RD, Warren, MI 48092

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Synergy Spine And Orthopedic Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Synergy Spine And Orthopedic Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Orthopedic Surgery
NPI 1396735106
11900 E 12 MILE RD SUITE 110
Warren, MI 48093
(586) 582-7070
✔ PECOS✔ Accepts Medicare2.5 mi
Sports Medicine
NPI 1790775427
35735 MOUND RD STE 100
Sterling Heights, MI 48310
(586) 261-1960
✔ PECOS✔ Accepts Medicare3.5 mi
Hand Surgery
NPI 1881845808
32300 NORTHWESTERN HWY STE 200
Farmington Hills, MI 48334
(248) 574-9534
✔ PECOS✔ Accepts Medicare15 mi
Pain Management
NPI 1154582112
32300 NORTHWESTERN HWY STE 200
Farmington Hills, MI 48334
(248) 574-9534
✔ PECOS✔ Accepts Medicare15 mi
Orthopedic Surgery
NPI 1104816081
36622 FIVE MILE RD STE 101
Livonia, MI 48154
(734) 542-0200
✔ PECOS✔ Accepts Medicare20 mi
Orthopedic Surgery
NPI 1124068754
36622 FIVE MILE RD
Livonia, MI 48154
(734) 542-0200
✔ PECOS✔ Accepts Medicare20 mi
Orthopedic Surgery
NPI 1124018833
11900 E 12 MILE RD SUITE 110
Warren, MI 48093
(586) 582-7070
✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 23D2054397

Synergy Spine & Orthopedic Surgery Center, LLC · Warren, MI
Active · expires Feb 19, 2027
CLIA Number23D2054397
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorStephen D. Mendelson
Laboratory Phone(586) 838-2035
Laboratory LocationSynergy Spine & Orthopedic Surgery Center, LLC5504 East 12 Mile Road, Warren, MI 48092
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

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.

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088
Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.
17,468 services45 patients
Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
3,458 services13 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
49 services36 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
42 services22 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
37 services14 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
36 services16 patients

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 Synergy Spine And Orthopedic Surgery Center, LLC's NPI number?

The NPI number for Synergy Spine And Orthopedic Surgery Center, LLC is 1104179878. It was assigned to this organization in the NPPES registry on October 18, 2012.

Where is Synergy Spine And Orthopedic Surgery Center, LLC located?

Synergy Spine And Orthopedic Surgery Center, LLC is located at 5504 E 12 Mile Rd, Warren, MI 48092. The listed phone number is (586) 838-2035.

What is Synergy Spine And Orthopedic Surgery Center, LLC's specialty?

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

Is Synergy Spine And Orthopedic Surgery Center, LLC enrolled in Medicare?

Yes. Synergy Spine And Orthopedic Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Synergy Spine And Orthopedic Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Synergy Spine And Orthopedic Surgery Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (4), Hand Surgery (1) and Pain Management (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Synergy Spine And Orthopedic Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2054397) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Synergy Spine And Orthopedic Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Synergy Spine And Orthopedic 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 Synergy Spine And Orthopedic Surgery Center, LLC was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.