At a glance
- 2460 Old Moultrie Road, Suite 3, Saint Augustine, FL 32086
About Old Moultrie Surgical Center INC
Old Moultrie Surgical Center INC is an organization based in Saint Augustine, FL and listed in the NPI registry under ambulatory surgical center. According to Medicare claims data, the services billed most often include insertion of spinal neurostimulator electrode array through skin, injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level, and heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones. The organization's National Provider Identifier (NPI) is 1144326307.
Factual summary compiled by Guide.md from public records; not written by this provider.
Providers in This Building & Nearby
From registry street addresses: providers filed at this building, which can include unrelated practices sharing it.
- Mayralis Enamorado, MD General Practice
- George E. Sadowski, M.D. Surgery
- Jeremy A. Caudill, D.O. General Surgery
- Michael J. Havro, PA-C Physician Assistant
- Keith M. Justice, M.D. Hematology & Oncology
- David R. Skaggs Physician Assistant
- Luis F. Cordero, MD General Practice
Specialty
Credentials & Licensing
Contact Information
- (904) 797-6627
- Email not available
Practice Locations
2460 OLD MOULTRIE ROAD SUITE 3
Saint Augustine, FL 32086
Procedures Most Often Billed to Medicare
245 services · 175 patients · 5 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Insertion of spinal neurostimulator electrode array through skin | Procedure | 63650 |
88 |
| Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | Procedure | 64628 |
53 |
| Insertion or replacement of spinal neurostimulator generator or receiver | Procedure | 63685 |
23 |
| Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | Procedure | 12032 |
12 |
| Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level | 0627T |
69 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other ambulatory surgical centers in Saint Augustine 5
Same specialty, same city.
Also performs Insertion of spinal neurostimulator electrode array through skin 8
Providers in FL who bill this service to Medicare most often.
Common questions
What does Old Moultrie Surgical Center INC specialize in?
Old Moultrie Surgical Center INC is an ambulatory surgical center in Saint Augustine, FL. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where is Old Moultrie Surgical Center INC located?
Old Moultrie Surgical Center INC is listed at 2460 Old Moultrie Road Suite 3, Saint Augustine, FL 32086. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Old Moultrie Surgical Center INC's phone number?
The number on file is (904) 797-6627. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for Old Moultrie Surgical Center INC?
Old Moultrie Surgical Center INC's National Provider Identifier is 1144326307. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What does Old Moultrie Surgical Center INC do most often?
According to Medicare billing data, Old Moultrie Surgical Center INC performs procedures including insertion of spinal neurostimulator electrode array through skin, heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones and insertion or replacement of spinal neurostimulator generator or receiver. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Old Moultrie Surgical Center INC's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Old Moultrie Surgical Center INC. If this is you, claiming it is free.
Guide.md
Is this your practice?
Manage this listing? Log in or create an account, then click “This is my practice and I manage it” here. A verified physician whose registry address matches this location is approved instantly; everyone else is reviewed by a person.
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