WAVERLY LAKE SURGERY CENTER
NPI 1851520514
Clinic/Center - Ambulatory Surgical in Albany, OR

Q: What is Capitol Surgery Center LLC's NPI number?

The NPI number for Capitol Surgery Center LLC is 1851520514. It was assigned to this organization in the NPPES registry on July 2, 2009. The provider is doing business as Waverly Lake Surgery Center.

Q: What is Capitol Surgery Center LLC's specialty?

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

Active since July 02, 2009CLIA 38D2031685 · Waiver

633 WAVERLY DR SE, ALBANY, OR 97322(541) 918-4210(541) 918-4215 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 16, 2021, Mar 5, 2019 (2 updates tracked since 2019).

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About Waverly Lake Surgery Center NPPES

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

WAVERLY LAKE SURGERY CENTER (NPI 1851520514) is a healthcare organization registered as an ambulatory surgical in Albany, Oregon and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Jennifer D Kolb, Administrator, as its authorized official.

NPPES Registry Identity

NPI1851520514

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameCAPITOL SURGERY CENTER LLC

Location Address633 WAVERLY DR SEAlbany, OR 97322-5078

Mailing Address633 Waverly Dr SeAlbany, OR 97322-5078 · (541) 918-4210 · Fax (541) 918-4215

Phone(541) 918-4210

Fax(541) 918-4215

Organization SubpartNo

Authorized OfficialJennifer D KolbAdministrator · (541) 918-4210

Enumeration DateJuly 2, 2009

Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration

NPPES CertifiedDecember 16, 2021

✔ NPI 1851520514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

633 WAVERLY DR SE, Albany, OR 97322

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Other Names 1

Doing Business AsWaverly Lake Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 38D2031685

Waverly Lake Surgery Center · Albany, OR

Active · expires Oct 24, 2027

CLIA Number38D2031685

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 25, 2025

Certificate Expiration DateOctober 24, 2027

Laboratory DirectorPeter C. Tsai

Laboratory Phone(541) 918-4210

Laboratory LocationWaverly Lake Surgery Center633 Waverly Dr SE, Albany, OR 97322

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 17

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 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.

173 services63 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.

168 services83 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.

87 services50 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.

74 services48 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.

62 services33 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.

55 services36 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.

43 services36 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

42 services30 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

36 services18 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.

28 services25 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.

23 services18 patients

Destruction of nerve branches of knee using imaging guidance 64624

This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.

22 services17 patients

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance 64454

This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.

21 services15 patients

Relocation of tendon of forearm and/or wrist 25310

Relocation of a tendon in the forearm or wrist is a surgical procedure aimed to improve joint function. It involves moving a tendon from its original position to a new one to enhance mobility or correct a deformity. It's typically done under general anesthesia.

15 services12 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.

15 services14 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

14 services14 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

12 services11 patients

Other Providers at the Same Location NPPES

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

THREE OAKS ANESTHESIA LLC

Anesthesiology

633 WAVERLY DR SE
ALBANY, OR 97322

Linn County (541) 286-2309

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 Capitol Surgery Center LLC's NPI number?

The NPI number for Capitol Surgery Center LLC is 1851520514. It was assigned to this organization in the NPPES registry on July 2, 2009. The provider is doing business as Waverly Lake Surgery Center.

Where is Capitol Surgery Center LLC located?

Capitol Surgery Center LLC is located at 633 Waverly Dr SE, Albany, OR 97322. The listed phone number is (541) 918-4210.

What is Capitol Surgery Center LLC's specialty?

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

Does Capitol Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2031685) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Capitol Surgery Center LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Capitol Surgery 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 Capitol Surgery Center LLC was last updated on December 16, 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.