Cherry Street Surgery Center, LLC
NPI 1902960198ActiveOrganization· Clinic/Center· Tulsa, OK
Clinic/Center in Tulsa, Oklahoma, registered in NPPES in December 2006. The authorized official on file is Mark L. Mathers, D.O., Medical Director. Medicare paid $1,072,692 for services to 242 patients in 2024.
Overview
| NPI | 1902960198 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2006 |
| Last updated in NPPES | Oct 7, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 0046 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Ambulatory Surgical Center (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 242 |
|---|---|
| Services billed | 515 across 20 procedure codes |
| Paid by Medicare | $1,072,692 |
Other Clinic/Center providers in Tulsa
- 1043443930
- 1043789498
- 1053134833
- 1063990398
- 1083460943
- 1114103793
- 1124598149
- 1134742059
- 1144860719
- 1154561736
- 1164040879
- 1164097176
All 107 Clinic/Center providers in Tulsa · All Clinic/Center providers in Oklahoma