1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Clinic Center
  6. NPI Profile

CANYON PAIN SURGERY CENTER
NPI 1972217180
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since January 11, 2023
4540 E BASELINE RD STE 117, MESA, AZ 85206(480) 561-0446(480) 608-4762 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 14, 2023, Jan 11, 2023 (2 updates tracked since 2023).

About Canyon Pain Surgery Center NPPES

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

CANYON PAIN SURGERY CENTER (NPI 1972217180) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since January 2023. The organization lists Jody Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972217180
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCANYON PAIN SURGERY CENTER
Location Address4540 E BASELINE RD STE 117Mesa, AZ 85206-4617
Mailing Address4540 E Baseline Rd Ste 117Mesa, AZ 85206-4617
Phone(480) 561-0446
Fax(480) 608-4762
Organization SubpartNo
Authorized OfficialJody SmithAdministrator · (480) 565-5925
Enumeration DateJanuary 11, 2023
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1972217180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4540 E BASELINE RD STE 117, Mesa, AZ 85206
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, UnitedHealthcare.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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Canyon Pain Surgery Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ryan Gibb, M.D.
Anesthesiology
NPI 1326366832
1425 S HIGLEY RD STE 102
Gilbert, AZ 85296
(480) 561-5000
✔ PECOS✔ Accepts Medicare3.9 mi
Kirk Bowden, DO
Interventional Pain Management
NPI 1255592994
10238 E HAMPTON AVE STE 416
Mesa, AZ 85209
(480) 461-5000
✔ PECOS✔ Accepts Medicare7.4 mi
Melissa Ranalli, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1083093868
1340 W ARMSTRONG WAY
Chandler, AZ 85286
(480) 244-7142
10 mi
Jill Sailer, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265616395
1850 N CENTRAL AVE SUITE 1600
Phoenix, AZ 85004
(602) 262-8900
✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
56 services34 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.
49 services20 patients
Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628
This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.
46 services32 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
42 services14 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.
41 services29 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.
37 services34 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 Canyon Pain Surgery Center's NPI number?

The NPI number for Canyon Pain Surgery Center is 1972217180. It was assigned to this organization in the NPPES registry on January 11, 2023.

Where is Canyon Pain Surgery Center located?

Canyon Pain Surgery Center is located at 4540 E Baseline Rd Ste 117, Mesa, AZ 85206. The listed phone number is (480) 561-0446.

What is Canyon Pain Surgery Center's specialty?

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

Is Canyon Pain Surgery Center enrolled in Medicare?

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

How many clinicians bill Medicare through Canyon Pain Surgery Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Canyon Pain Surgery Center, in Anesthesiology, Certified Registered Nurse Anesthetist (CRNA) and Interventional Pain Management. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Canyon Pain Surgery Center accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Canyon Pain Surgery Center 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 Canyon Pain Surgery Center was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.