PREMIER SURGICAL CENTER, INC
NPI 1275516718
Clinic/Center - Ambulatory Surgical in Boise, ID

Active since November 29, 2005CLIA 13D1089437 · Waiver
5680 W GAGE ST, BOISE, ID 83706(208) 377-3937(208) 377-9455 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Surgical Center, Inc NPPES

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

PREMIER SURGICAL CENTER, INC (NPI 1275516718) is a healthcare organization registered as an ambulatory surgical in Boise, Idaho and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists John Reed Sonntag, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1275516718
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePREMIER SURGICAL CENTER, INC
Location Address5680 W GAGE STBoise, ID 83706-1326
Mailing Address5680 W Gage StBoise, ID 83706-1326 · (208) 377-3937 · Fax (208) 377-9455
Fax(208) 377-9455
Organization SubpartNo
Authorized OfficialJohn Reed SonntagMedical Director · (208) 377-3937
Enumeration DateNovember 29, 2005
Last NPPES UpdateOctober 7, 2011
NPI 1275516718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5680 W GAGE ST, Boise, ID 83706

Other Identifiers 1

Medicare OSCAR/certification1870587

Accepted 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 13D1089437

Premier Surgical Center · Boise, ID
Active · expires Sep 16, 2026
CLIA Number13D1089437
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorJacob A. Mong
Laboratory Phone(208) 377-3937
Laboratory LocationPremier Surgical Center5680 W Gage St, Boise, ID 83706
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 10

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 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.
429 services238 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.
146 services101 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
38 services24 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
31 services20 patients
Dilation of fluid outflow drainage within eye 66174
Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.
31 services19 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
26 services14 patients

Other Providers at the Same Location NPPES 10

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

Durable Medical Equipment & Medical Supplies
5680 W GAGE ST
BOISE, ID 83706
Ophthalmology
5680 W GAGE ST
BOISE, ID 83706
Ophthalmology
5680 W GAGE ST
BOISE, ID 83706
Optometrist
5680 W GAGE ST
BOISE, ID 83706
Optometrist
5680 W GAGE ST
BOISE, ID 83706
Ophthalmology
5680 W GAGE ST
BOISE, ID 83706
Ophthalmology
5680 W GAGE ST
BOISE, ID 83706
Ophthalmology
5680 W GAGE ST
BOISE, ID 83706

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 Premier Surgical Center, Inc's NPI number?

The NPI number for Premier Surgical Center, Inc is 1275516718. It was assigned to this organization in the NPPES registry on November 29, 2005.

Where is Premier Surgical Center, Inc located?

Premier Surgical Center, Inc is located at 5680 W Gage St, Boise, ID 83706. The listed phone number is (208) 377-3937.

What is Premier Surgical Center, Inc's specialty?

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

Does Premier Surgical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1089437) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Surgical Center, Inc accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Premier Surgical Center, Inc 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 Premier Surgical Center, Inc was last updated on October 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.