1. Home
  2. Directory
  3. Michigan
  4. Traverse City
  5. Clinic Center
  6. NPI Profile

SURGERY CENTER PLC
NPI 1770577637
Clinic/Center - Ambulatory Surgical in Traverse City, MI

Active since September 07, 2005CLIA 23D0988107 · Waiver
5080 N ROYAL DR, TRAVERSE CITY, MI 49684(231) 929-2500(231) 929-0963 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2021, Jun 23, 2016 (2 updates tracked since 2016).

About Surgery Center Plc NPPES

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

SURGERY CENTER PLC (NPI 1770577637) is a healthcare organization registered as an ambulatory surgical in Traverse City, Michigan and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Bradley S. Hochstetler, Owner, as its authorized official.

NPPES Registry Identity

NPI1770577637
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER PLC
Location Address5080 N ROYAL DRTraverse City, MI 49684-9230
Mailing Address5080 N Royal DrTraverse City, MI 49684-9230 · (231) 929-2500 · Fax (231) 929-0963
Phone(231) 929-2500
Fax(231) 929-0963
Organization SubpartNo
Authorized OfficialBradley S. HochstetlerOwner · (231) 929-2500
Enumeration DateSeptember 7, 2005
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1770577637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedOphthalmologyTaxonomy 207W00000X · License TH048021 (MI)
5080 N ROYAL DR, Traverse City, MI 49684
Open in Google Maps ↗

Other Identifiers 6

Other050B810950MI · Bcbs Md Anes Group
Other40364MI · Bcbs - Tsc
Other430B810310MI · Bcbs Crna Group
Other490003947MI · Medicare Rr
Other900003210MI · Priority - Tsc
Other490B870000MI · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Surgery Center Plc, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Chelsea Holzworth, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932671922
4100 PARK FOREST DR STE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare1.0 mi
Bethany Mckinley, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821056219
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare1.0 mi
Christina Pryde, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033103874
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare1.0 mi
Michael Morey, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851353916
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare1.0 mi
Cheri Morio, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649265661
4100 PARK FOREST DR SUITE 210
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare1.0 mi
Jacob Stahl, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1801209200
4100 PARK FOREST DR SUITE 201
Traverse City, MI 49684
(231) 935-5770
✔ Accepts Medicare1.0 mi
Jennifer Simons, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679894117
14700 LAKE SHORE DR
Charlevoix, MI 49720
(231) 547-4024
✔ Accepts Medicare43 mi
Jessica Hubl, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1275885238
3249 OAK PARK AVE
Berwyn, IL 60402
(773) 818-1132
✔ Accepts Medicare229 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 23D0988107

Surgery Center,the · Traverse City, MI
Active · expires Jun 19, 2027
CLIA Number23D0988107
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorBradley Hochstetler
Laboratory Phone(231) 929-2500
Laboratory LocationSurgery Center,the5080 N Royal Drive, Traverse City, MI 49684
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
575 services332 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
96 services71 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.
32 services19 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.
24 services16 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 Surgery Center Plc's NPI number?

The NPI number for Surgery Center Plc is 1770577637. It was assigned to this organization in the NPPES registry on September 7, 2005.

Where is Surgery Center Plc located?

Surgery Center Plc is located at 5080 N Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 929-2500.

What is Surgery Center Plc's specialty?

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

Is Surgery Center Plc enrolled in Medicare?

Yes. Surgery Center Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgery Center Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Surgery Center Plc. 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. Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Surgery Center Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0988107) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center Plc accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Surgery Center Plc 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 Surgery Center Plc was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.