SURGICAL SPECIALISTS ASC, LLC
NPI 1780871319
Clinic/Center - Ambulatory Surgical in Fort Walton Beach, FL

Q: What is Surgical Specialists ASC, LLC's NPI number?

The NPI number for Surgical Specialists ASC, LLC is 1780871319. It was assigned to this organization in the NPPES registry on September 27, 2007.

Q: What is Surgical Specialists ASC, LLC's specialty?

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

Active since September 27, 2007CLIA 10D1084859 · Waiver

1034 MAR WALT DR STE 300, FORT WALTON BEACH, FL 32547(850) 315-9385(850) 315-9350 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Surgical Specialists Asc, Llc NPPES

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

SURGICAL SPECIALISTS ASC, LLC (NPI 1780871319) is a healthcare organization registered as an ambulatory surgical in Fort Walton Beach, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Chase Deroberto, Admin, as its authorized official.

NPPES Registry Identity

NPI1780871319

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSURGICAL SPECIALISTS ASC, LLC

Location Address1034 MAR WALT DR STE 300Fort Walton Beach, FL 32547-6645

Mailing Address1034 Mar Walt Dr Unit 300Fort Walton Beach, FL 32547-6637 · (850) 315-9385 · Fax (850) 315-9350

Phone(850) 315-9385

Fax(850) 315-9350

Organization SubpartNo

Authorized OfficialChase DerobertoAdmin · (850) 315-9231

Enumeration DateSeptember 27, 2007

Last NPPES UpdateJune 17, 2026

NPPES CertifiedJune 17, 2026

✔ NPI 1780871319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1034 MAR WALT DR STE 300, Fort Walton Beach, FL 32547

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D1084859

Surgical Specialists ASC · Fort Walton Beach, FL

Active · expires Jun 4, 2028

CLIA Number10D1084859

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 5, 2026

Certificate Expiration DateJune 4, 2028

Laboratory DirectorJason W. Thackeray

Laboratory Phone(850) 863-5518

Laboratory LocationSurgical Specialists ASC1034 Mar Walt Drive Suite 300, Fort Walton Beach, FL 32547

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

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.

262 services151 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.

240 services79 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.

235 services197 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

195 services95 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.

159 services80 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.

121 services73 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.

108 services93 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

93 services34 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

53 services27 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.

51 services46 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.

49 services45 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

41 services41 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

35 services20 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.

24 services18 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

22 services22 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

22 services22 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

19 services12 patients

Removal of growth of tendon finger or hand 26160

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

11 services11 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 Surgical Specialists ASC, LLC's NPI number?

The NPI number for Surgical Specialists ASC, LLC is 1780871319. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Surgical Specialists ASC, LLC located?

Surgical Specialists ASC, LLC is located at 1034 Mar Walt Dr Ste 300, Fort Walton Beach, FL 32547. The listed phone number is (850) 315-9385.

What is Surgical Specialists ASC, LLC's specialty?

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

Does Surgical Specialists ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1084859) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgical Specialists ASC, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Surgical Specialists ASC, 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 Surgical Specialists ASC, LLC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.