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LAKE TAHOE SURGERY CENTER
NPI 1700963725
Clinic/Center - Ambulatory Surgical in Zephyr Cove, NV

Active since November 01, 2006CLIA 29D0945586 · Waiver
212 ELKS POINT RD, SUITE 201, ZEPHYR COVE, NV 89448(775) 588-9188(775) 588-4337 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2023, Jul 29, 2022 (2 updates tracked since 2022).

About Lake Tahoe Surgery Center NPPES

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

LAKE TAHOE SURGERY CENTER (NPI 1700963725) is a healthcare organization registered as an ambulatory surgical in Zephyr Cove, Nevada and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Clinton D Purvance, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1700963725
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBARTON HEALTHCARE SYSTEM
Location Address212 ELKS POINT RD, SUITE 201Zephyr Cove, NV 89448-8001
Mailing Address2170 South AveSouth Lake Tahoe, CA 96150-7026 · (530) 541-3420 · Fax (530) 541-8723
Phone(775) 588-9188
Fax(775) 588-4337
Organization SubpartNo
Authorized OfficialClinton D PurvancePresident/ceo · (530) 543-5840
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1700963725 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 NV · 1888ASC
212 ELKS POINT RD, Zephyr Cove, NV 89448
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Tahoe Surgery Center

Other Identifiers 1

Medicaid1700963725NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Tahoe Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Lake Tahoe Surgery Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

William Mellor
Orthopedic Surgery
NPI 1982284436
935 MICA DR STE 13
Carson City, NV 89705
(530) 543-5554
✔ PECOS✔ Accepts Medicare12 mi
Marco Mendoza, M.D.
Orthopedic Surgery
NPI 1255627964
973 MICA DR SUITE 201
Carson City, NV 89705
(775) 783-6190
✔ PECOS✔ Accepts Medicare12 mi
Jeffrey Cummings
Orthopedic Surgery
NPI 1740271238
1520 VIRGINIA RANCH RD STE 1B
Gardnerville, NV 89410
(530) 543-5554
✔ PECOS✔ Accepts Medicare13 mi
Caleb Davis
Orthopedic Surgery
NPI 1366079865
251 CROWN POINTE BLVD
Willow Park, TX 76087
(877) 314-8990
✔ PECOS✔ Accepts Medicare1,318 mi
Jason Goodrum, MD
Orthopedic Surgery
NPI 1265923189
575 HILL COUNTRY DR STE 101
Kerrville, TX 78028
(830) 258-7090
✔ PECOS✔ Accepts Medicare1,332 mi
Luis Berrios
Orthopedic Surgery
NPI 1538740527
3500 GASTON AVE
Dallas, TX 75246
(214) 820-2361
✔ PECOS✔ Accepts Medicare1,363 mi
David Hagan
Orthopedic Surgery
NPI 1992238257
555 E COUNTY LINE RD
Greenwood, IN 46143
(317) 497-2130
✔ PECOS✔ Accepts Medicare1,804 mi
Matthew Skinner
Orthopedic Surgery
NPI 1033672910
1720 SPRING HILL AVE STE 301
Mobile, AL 36604
(251) 435-2663
✔ PECOS✔ Accepts Medicare1,888 mi
William Mcclain, MD
Orthopedic Surgery
NPI 1821459652
48TH MEDICAL GROUP RAF LAKENHEATH, UNIT 5115
Apo, AE 09461
(314) 226-8010
✔ PECOS✔ Accepts Medicare7,802 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 29D0945586

Lake Tahoe Surgery Center · Zephyr Cove, NV
Active · expires May 4, 2028
CLIA Number29D0945586
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorTigran Avakumov
Laboratory Phone(775) 588-9188
Laboratory LocationLake Tahoe Surgery Center212 Elks Point Rd Ste 201, Zephyr Cove, NV 89448
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 7

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 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.
130 services95 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.
99 services84 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.
43 services23 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.
22 services13 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
17 services12 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
14 services12 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 Barton Healthcare System's NPI number?

The NPI number for Barton Healthcare System is 1700963725. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Lake Tahoe Surgery Center.

Where is Barton Healthcare System located?

Barton Healthcare System is located at 212 Elks Point Rd Suite 201, Zephyr Cove, NV 89448. The listed phone number is (775) 588-9188.

What is Barton Healthcare System's specialty?

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

Is Barton Healthcare System enrolled in Medicare?

Yes. Barton Healthcare System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Barton Healthcare System?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Barton Healthcare System. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Barton Healthcare System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0945586) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Barton Healthcare System was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.