MCPEAK SURGERY CENTER LLC
NPI 1881684538
Clinic/Center - Ambulatory Surgical in Glasgow, KY

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

The NPI number for Mcpeak Surgery Center LLC is 1881684538. It was assigned to this organization in the NPPES registry on October 25, 2005.

Q: What is Mcpeak 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 October 25, 2005CLIA 18D0325941 · Waiver

108 BRAVO BLVD, GLASGOW, KY 42141(270) 651-2181(270) 651-2183 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mcpeak Surgery Center Llc NPPES

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

MCPEAK SURGERY CENTER LLC (NPI 1881684538) is a healthcare organization registered as an ambulatory surgical in Glasgow, Kentucky and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Spencer Witcher, Owner, as its authorized official.

NPPES Registry Identity

NPI1881684538

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMCPEAK SURGERY CENTER LLC

Location Address108 BRAVO BLVDGlasgow, KY 42141-3478

Mailing Address108 Bravo BlvdGlasgow, KY 42141-3478 · (270) 651-2181 · Fax (270) 651-2183

Phone(270) 651-2181

Fax(270) 651-2183

Organization SubpartNo

Authorized OfficialSpencer WitcherOwner · (270) 651-2181

Enumeration DateOctober 25, 2005

Last NPPES UpdateMay 12, 2017

✔ NPI 1881684538 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 KY · 300060

108 BRAVO BLVD, Glasgow, KY 42141

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Other Identifiers 2

Medicare PINASC1010KY

Medicaid36000826KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateKentuckyEnrollment IDO20040219000001Non-DME Part B · Ambulatory Surgical CenterDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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 18D0325941

Mcpeak Surgery Center, LLC · Glasgow, KY

Active · expires Aug 31, 2028

CLIA Number18D0325941

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 1, 2026

Certificate Expiration DateAugust 31, 2028

Laboratory DirectorMr. Michael Norlund

Laboratory Phone(270) 651-2181

Laboratory LocationMcpeak Surgery Center, LLC108 Bravo Boulevard, Glasgow, KY 42141

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 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.

713 services404 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.

310 services266 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

39 services27 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.

21 services16 patients

Other Providers at the Same Location NPPES 5

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

DAVID THOMPSON OPTICIAN

Technician/Technologist (Optician)