MENTOR SURGERY CENTER LTD
NPI 1417958729
Clinic/Center - Ambulatory Surgical in Mentor, OH

Active since August 09, 2005CLIA 36D0953815 · Waiver
9485 MENTOR AVE, STE 1, MENTOR, OH 44060(440) 205-5454(440) 205-5402 Get Directions Write a Review

NPPES record last updated: December 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mentor Surgery Center Ltd NPPES

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

MENTOR SURGERY CENTER LTD (NPI 1417958729) is a healthcare organization registered as an ambulatory surgical in Mentor, Ohio and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Tracy Ann Peters, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417958729
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMENTOR SURGERY CENTER LTD
Location Address9485 MENTOR AVE, STE 1Mentor, OH 44060-4597
Mailing Address9485 Mentor Ave, Ste 1Mentor, OH 44060-8711 · (440) 205-5454 · Fax (440) 205-5402
Fax(440) 205-5402
Organization SubpartNo
Authorized OfficialTracy Ann PetersBusiness Office Manager · (440) 205-5467
Enumeration DateAugust 9, 2005
Last NPPES UpdateDecember 31, 2014
NPI 1417958729 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 OH · 0404AS
9485 MENTOR AVE, Mentor, OH 44060

Other Identifiers 2

Medicare PIN3611161OH
Medicaid2106143OH

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 36D0953815

Mentor Surgery Center Ltd · Mentor, OH
Active · expires Nov 11, 2026
CLIA Number36D0953815
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorTracy A. Peters
Laboratory Phone(440) 205-5467
Laboratory LocationMentor Surgery Center Ltd9485 Mentor Avenue Suite 1, Mentor, OH 44060
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 27

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
3,450 services27 patients
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
688 services96 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.
233 services124 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.
163 services98 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
111 services73 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.
104 services35 patients

Other Providers at the Same Location NPPES 20

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

Pediatrics
9485 MENTOR AVE, 101
MENTOR, OH 44060
Dentist
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Physician Assistant
9485 MENTOR AVE
MENTOR, OH 44060
Dentist (General Practice)
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Physician Assistant
9485 MENTOR AVE
MENTOR, OH 44060
Nurse Practitioner (Family)
9485 MENTOR AVE
MENTOR, OH 44060
Dentist (General Practice)
9485 MENTOR AVE, SUITE #112
MENTOR, OH 44060
Radiology (Radiation Oncology)
9485 MENTOR AVE, SUITE 3
MENTOR, OH 44060

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 Mentor Surgery Center Ltd's NPI number?

The NPI number for Mentor Surgery Center Ltd is 1417958729. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Mentor Surgery Center Ltd located?

Mentor Surgery Center Ltd is located at 9485 Mentor Ave Ste 1, Mentor, OH 44060. The listed phone number is (440) 205-5454.

What is Mentor Surgery Center Ltd's specialty?

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

Does Mentor Surgery Center Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0953815) 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 Mentor Surgery Center Ltd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Mentor Surgery Center Ltd 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 Mentor Surgery Center Ltd was last updated on December 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.