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CMMP SURGICAL CENTER LLC
NPI 1528060704
Clinic/Center - Ambulatory Surgical in Jefferson City, MO

Active since June 01, 2005CLIA 26D0974018 · Waiver
1705 CHRISTY DR, STE 100, JEFFERSON CITY, MO 65101(573) 635-7022(573) 659-5443 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cmmp Surgical Center Llc NPPES

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

CMMP SURGICAL CENTER LLC (NPI 1528060704) is a healthcare organization registered as an ambulatory surgical in Jefferson City, Missouri and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through May 24, 2028 and lists Carl R Doerhoff, Majority Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1528060704
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCMMP SURGICAL CENTER LLC
Location Address1705 CHRISTY DR, STE 100Jefferson City, MO 65101-5195
Mailing Address1705 Christy Dr, Ste 100Jefferson City, MO 65101-5195 · (573) 635-7022 · Fax (573) 659-5443
Phone(573) 635-7022
Fax(573) 659-5443
Organization SubpartNo
Authorized OfficialCarl R DoerhoffMajority Physician Owner · (573) 659-5401
Enumeration DateJune 1, 2005
Last NPPES UpdateApril 20, 2008
✔ NPI 1528060704 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 · 95-6
1705 CHRISTY DR, Jefferson City, MO 65101
Open in Google Maps ↗

Other Identifiers 4

Other37MO · Bcbs Of Mo Prov Number
Other=========CMMMO · Mercy Hlth Plan Prov Num
Other537147MO · Healthlink Prov Number
Other6800140MO · United Hlth Care Prov Num

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 26D0974018

Cmmp Surgical Center · Jefferson City, MO
Active · expires May 24, 2028
CLIA Number26D0974018
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorR Michitsch
Laboratory Phone(573) 635-7022
Laboratory LocationCmmp Surgical Center1705 Christy Drive Suite 100, Jefferson City, MO 65101
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 8

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.
1,198 services702 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.
760 services473 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
51 services32 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.
50 services25 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.
42 services27 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.
39 services26 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.

CARL RAYMOND DOERHOFF M.D.
Surgery
1705 CHRISTY DR, SUITE 215
JEFFERSON CITY, MO 65101
Cole County (573) 659-5500
MR. ROBERT JOSEPH LOOTENS JR. FNAO
Technician/Technologist (Optician)
1705 CHRISTY DR, SUITE 103
JEFFERSON CITY, MO 65101
Cole County (573) 635-1333
MRS. ELIZABETH A FARMER DPT
Physical Therapist
1705 CHRISTY DR, SUITE 200
JEFFERSON CITY, MO 65101
Cole County (573) 659-5515
CAPITOL EYE CARE, INC.
Specialist
1705 CHRISTY DR, STE. 101
JEFFERSON CITY, MO 65101
Cole County (573) 635-0115
JESSICA LYNN CLARK PT
Physical Therapist
1705 CHRISTY DR, SUITE 200
JEFFERSON CITY, MO 65101
Cole County (573) 659-5515
CENTRAL MISSOURI DIAGNOSTIC SERVICES, LLC
Clinical Medical Laboratory
1705 CHRISTY DR, SUITE 105
JEFFERSON CITY, MO 65101
Cole County (573) 659-5460
SIERRA BINKLEY PT
Physical Therapist
1705 CHRISTY DR, STE 200
JEFFERSON CITY, MO 65101
Cole County (573) 659-5515
DR. MATTHEW THOMAS LEWIS M.D.
Specialist
1705 CHRISTY DR, STE. 101
JEFFERSON CITY, MO 65101
Cole County (573) 635-0115

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 Cmmp Surgical Center LLC's NPI number?

The NPI number for Cmmp Surgical Center LLC is 1528060704. It was assigned to this organization in the NPPES registry on June 1, 2005.

Where is Cmmp Surgical Center LLC located?

Cmmp Surgical Center LLC is located at 1705 Christy Dr Ste 100, Jefferson City, MO 65101. The listed phone number is (573) 635-7022.

What is Cmmp Surgical Center LLC's specialty?

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

Does Cmmp Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0974018) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cmmp Surgical 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 Cmmp Surgical 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 Cmmp Surgical Center LLC was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.