BOULDER SURGERY CENTER
NPI 1336148360
Clinic/Center - Ambulatory Surgical in Boulder, CO

Active since July 20, 2005CLIA 06D1033783 · Waiver
4740 PEARL PKWY STE 100, BOULDER, CO 80301(303) 938-5470(303) 938-5493 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boulder Surgery Center NPPES

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

BOULDER SURGERY CENTER (NPI 1336148360) is a healthcare organization registered as an ambulatory surgical in Boulder, Colorado and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Bethany Bueno, Vp, Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1336148360
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBOULDER COMMUNITY MUSCULOSKELETAL SURGERY CENTER, LLC
Location Address4740 PEARL PKWY STE 100Boulder, CO 80301-3082
Mailing AddressPo Box 18058Boulder, CO 80308-1058 · (303) 938-5470 · Fax (303) 938-5493
Fax(303) 938-5493
Organization SubpartNo
Authorized OfficialBethany BuenoVp, Revenue Cycle Management · (720) 359-2107
Enumeration DateJuly 20, 2005
Last NPPES UpdateJune 26, 2019
NPI 1336148360 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 CO · 0119
4740 PEARL PKWY STE 100, Boulder, CO 80301

Other Names 1

Doing Business AsBoulder Surgery Center

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 06D1033783

Boulder Community Musculoskeletal Surgery Center · Boulder, CO
Active · expires Nov 15, 2026
CLIA Number06D1033783
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorMeredith Mayo
Laboratory Phone(303) 938-5470
Laboratory LocationBoulder Community Musculoskeletal Surgery Center4740 Pearl Parkway Suite 100, Boulder, CO 80301
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 16

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.

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.
2,893 services22 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
57 services53 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
54 services40 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
37 services35 patients
Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
35 services34 patients
Removal of deep implant from bone 20680
This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.
25 services20 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.

Registered Nurse
4740 PEARL PKWY STE 100
BOULDER, CO 80301

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 Boulder Community Musculoskeletal Surgery Center, LLC's NPI number?

The NPI number for Boulder Community Musculoskeletal Surgery Center, LLC is 1336148360. It was assigned to this organization in the NPPES registry on July 20, 2005. The provider is doing business as Boulder Surgery Center.

Where is Boulder Community Musculoskeletal Surgery Center, LLC located?

Boulder Community Musculoskeletal Surgery Center, LLC is located at 4740 Pearl Pkwy Ste 100, Boulder, CO 80301. The listed phone number is (303) 938-5470.

What is Boulder Community Musculoskeletal Surgery Center, LLC's specialty?

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

Does Boulder Community Musculoskeletal Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1033783) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boulder Community Musculoskeletal Surgery Center, LLC accept?

Health plans from Medica list Boulder Community Musculoskeletal 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 Boulder Community Musculoskeletal Surgery Center, LLC was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.