SKYLINE SURGERY CENTER, LLC
NPI 1851552483
Clinic/Center - Ambulatory Surgical in Pocatello, ID

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

The NPI number for Skyline Surgery Center, LLC is 1851552483. It was assigned to this organization in the NPPES registry on June 17, 2008. The provider was formerly known as Skyline Surgery Center Inc.

Q: What is Skyline 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 June 17, 2008CLIA 13D2053554 · Waiver

285 VISTA DR, STE C, POCATELLO, ID 83201(208) 478-1704(208) 233-6970 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Skyline Surgery Center, Llc NPPES

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

SKYLINE SURGERY CENTER, LLC (NPI 1851552483), doing business as Skyline Surgery Center Inc, is a healthcare organization registered as an ambulatory surgical in Pocatello, Idaho and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Kathryn Buckalew, Administrator, as its authorized official.

NPPES Registry Identity

NPI1851552483

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSKYLINE SURGERY CENTER, LLC

Location Address285 VISTA DR, STE CPocatello, ID 83201

Mailing Address285 Vista Drive, Suite CPocatello, ID 83201 · (208) 478-1704 · Fax (208) 233-6970

Phone(208) 478-1704

Fax(208) 233-6970

Organization SubpartNo

Authorized OfficialKathryn BuckalewAdministrator · (208) 785-3877

Enumeration DateJune 17, 2008

Last NPPES UpdateMay 31, 2018

✔ NPI 1851552483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

285 VISTA DR, Pocatello, ID 83201

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Other Names 1

Former Legal Business NameSkyline Surgery Center Inc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence 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 13D2053554

Skyline Surgery Center · Pocatello, ID

Active · expires Feb 3, 2027

CLIA Number13D2053554

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 4, 2025

Certificate Expiration DateFebruary 3, 2027

Laboratory DirectorDeb Meyer

Laboratory Phone(208) 478-1704

Laboratory LocationSkyline Surgery Center285 Vista Drive, Pocatello, ID 83201

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 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.

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.

144 services79 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.

116 services54 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

115 services42 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.

86 services38 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.

39 services34 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.

34 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.

33 services27 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.

30 services11 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.

25 services13 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.

21 services17 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

21 services21 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.

21 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.

17 services14 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

15 services13 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

15 services15 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.

14 services12 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

11 services11 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Skyline Surgery Center carries, from the Medicare DMEPOS supplier directory.

Skyline Surgery Center

DMEPOS supplier · Pocatello, IDOperated by Skyline Surgery Center LLC

✔

Accepts Medicare assignment

Skyline Surgery Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)26716516

Medicare Participant SinceJuly 29, 2008

Supplier Location285 Vista Dr Ste CPocatello, ID 83201

Phone(208) 478-1704

Provider TypeAmbulatory Surgical Center

Medicare Product Categories

Breast Prostheses and/or Accessories

Prosthetic bra, Surgical bra

Neurostimulators and/or Supplies

Rechargable neurostimulators, Non-rechargable neurostimulators

Prosthetic Lenses: Prosthetics Cataract Lenses

Cataract Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 13

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

EDWARDS ENTERPRISES LLC

Nurse Anesthetist, Certified Registered

285 VISTA DR
POCATELLO, ID 83201

Bannock County (208) 478-1704

RYAN D. HOPE, M.D., LLC

Pain Medicine (Interventional Pain Medicine)

285 VISTA DR
POCATELLO, ID 83201

Bannock County (208) 233-8344

LAURA M SPRAGUE DPT

Physical Therapist

285 VISTA DR, SUITE A
POCATELLO, ID 83201

Bannock County (208) 478-1488

VALLEY VIEW ANESTHESIA PA

Anesthesiology

285 VISTA DR
POCATELLO, ID 83201

Bannock County (208) 478-1704

MR. TIMOTHY MORGAN NAYLOR CRNA

Nurse Anesthetist, Certified Registered

285 VISTA DR
POCATELLO, ID 83201

Bannock County (208) 478-1704

SM MALOFF MD PC

Plastic Surgery (Surgery of the Hand)

285 VISTA DR
POCATELLO, ID 83201

Bannock County (208) 239-0380

BMH, INC.

Pain Medicine (Interventional Pain Medicine)

285 VISTA DR, STE. E
POCATELLO, ID 83201

Bannock County (208) 239-8023

RICHARD T SORENSEN DPT

Physical Therapist

285 VISTA DR, SUITE A
POCATELLO, ID 83201

Bannock County (208) 478-1488

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 Skyline Surgery Center, LLC's NPI number?

The NPI number for Skyline Surgery Center, LLC is 1851552483. It was assigned to this organization in the NPPES registry on June 17, 2008. The provider was formerly known as Skyline Surgery Center Inc.

Where is Skyline Surgery Center, LLC located?

Skyline Surgery Center, LLC is located at 285 Vista Dr Ste C, Pocatello, ID 83201. The listed phone number is (208) 478-1704.

What is Skyline Surgery Center, LLC's specialty?

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

Does Skyline Surgery Center, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Skyline Surgery Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Skyline Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2053554) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skyline Surgery Center, LLC accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and University of Utah Health Plans list Skyline 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 Skyline Surgery Center, LLC was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

About Skyline Surgery Center, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Other Names 1

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 13D2053554

Areas of Expertise CMS Part B claims 18

Medical Equipment Supplier Medicare DMEPOS 3

Skyline Surgery Center

Medicare Product Categories

Other Providers at the Same Location NPPES 13

Frequently Asked Questions NPPES & CMS

What is Skyline Surgery Center, LLC's NPI number?

Where is Skyline Surgery Center, LLC located?

What is Skyline Surgery Center, LLC's specialty?

Does Skyline Surgery Center, LLC accept Medicare assignment for medical equipment?

Does Skyline Surgery Center, LLC hold a CLIA laboratory certificate?

What insurance does Skyline Surgery Center, LLC accept?

When was this NPI record last updated?

Certificate of Waiver 13D2053554