PREMIER AT EXTON SURGERY CENTER LLC is a Medicare-certified ambulatory surgery center located in EXTON, PA, offering same-day outpatient surgical procedures. Google rating: 3.8 out of 5 from 55 reviews.

PREMIER AT EXTON SURGERY CENTER LLC

exton, PAMedicare Certified

Location & Directions

Address

491 JOHN YOUNG WAY SUITE 100

EXTON, PA

Service Area

This provider serves patients in EXTON and surrounding areas in PA.

Contact this surgery center for service area details

Note on Service Area

This ambulatory surgery center serves patients in the surrounding area. Contact this surgery center directly to confirm service availability in your specific location.

Procedures Performed

Common outpatient procedures performed at this ambulatory surgery center, based on reported specialties.

Knee ArthroscopyA camera and small instruments are inserted through incisions the size of a buttonhole to repair cartilage, trim a torn meniscus, or remove loose fragments. Because the joint is not opened fully, recovery is far faster than traditional open knee surgery.Shoulder ArthroscopyUses a small camera and instruments through tiny incisions to repair the shoulder joint — commonly for impingement, labral tears, or damaged cartilage. Most patients go home the same day and begin physical therapy within the first week.ACL ReconstructionRebuilds the torn anterior cruciate ligament using a graft, since a fully torn ACL does not heal on its own. The surgery itself is outpatient, but returning to cutting and pivoting sports typically takes nine to twelve months of structured rehabilitation.Rotator Cuff RepairReattaches torn tendons in the shoulder to the bone. Pain relief often comes well before strength does — a sling is typical for several weeks and full recovery commonly takes four to six months, with physical therapy doing much of the work.Carpal Tunnel ReleaseCuts the ligament pressing on the median nerve at the wrist to relieve numbness, tingling, and night pain in the hand. The procedure takes about 15 minutes under local anesthesia. Night symptoms often improve immediately; grip strength returns over several weeks.Joint ReplacementDamaged joint surfaces are replaced with implants, most commonly at the knee or hip. Once exclusively a hospital procedure, selected healthy patients now have this done at surgery centers and go home the same day with a structured recovery plan.
Epidural Steroid InjectionsSteroid medication is injected near irritated spinal nerve roots to calm inflammation causing sciatica or arm pain. Often used to make physical therapy tolerable rather than as a standalone cure. There are limits on how frequently they can be repeated.Nerve Block InjectionsAnesthetic, sometimes with steroid, is injected around a specific nerve to interrupt pain signals. Used both to treat pain and to identify its source, since relief from a precisely placed block points to the nerve responsible.Radiofrequency AblationHeat generated by radio waves disables the small nerves carrying pain signals from an arthritic spinal joint. Relief commonly lasts six months to two years. Because the nerves regenerate over time, the procedure can be repeated.Spinal Cord StimulationA device delivers mild electrical pulses to the spinal cord to interrupt chronic pain signals before they reach the brain. A temporary trial period is done first, so you can judge the benefit before committing to a permanent implant.Joint InjectionsSteroid or lubricating medication is injected directly into an arthritic or inflamed joint. Image guidance is often used to confirm placement. Relief typically lasts weeks to months and can make physical therapy more productive.Trigger Point InjectionsA local anesthetic is injected into a taut, tender knot of muscle to break the spasm-and-pain cycle. The appointment takes minutes and you can usually return to normal activity the same day.
Bunion Correction (Bunionectomy)The bony prominence at the base of the big toe is removed and the bone realigned, often with screws or plates. Recovery involves weeks in a protective shoe or boot, and swelling can persist for several months.Hammertoe CorrectionA toe permanently bent at the middle joint is straightened, sometimes with a temporary pin holding the correction. Considered when the toe rubs painfully in shoes or has developed calluses and sores.Plantar Fascia ReleaseThe tight band of tissue along the bottom of the foot is partially released to relieve stubborn heel pain. Reserved for cases that have not improved after months of stretching, orthotics, and other conservative treatment.Ankle ArthroscopyA small camera and instruments treat problems inside the ankle joint — impingement, loose fragments, or damaged cartilage — through incisions a few millimeters wide, avoiding a larger open exposure.Ingrown Toenail RemovalThe edge of a nail growing into the surrounding skin is removed under local anesthesia. When the problem keeps recurring, the nail-forming tissue at that edge is also treated so it does not grow back.Foot Fracture RepairBroken bones in the foot are realigned and stabilized with hardware so they heal in position. Because the foot bears your full weight with every step, alignment matters more here than the small bone size suggests.

Procedure list is based on CMS-reported specialty designations. Contact the facility to confirm specific procedures offered.

Patient Experience Scores

Overall: 94/100 (+1 vs natl avg 93)

Based on 254 surveys · 27% response rate

OAS CAHPS scores are linear means (0–100) from Medicare patient surveys. Higher is better. National averages shown for comparison.

Overall RatingPatients who gave the facility a high overall rating
94+1 vs national avg (93)
0↑ natl avg100
Would RecommendPatients who would definitely recommend this facility
92+0 vs national avg (92)
0↑ natl avg100
StaffPatients who rated staff care and professionalism highly
98+2 vs national avg (96)
0↑ natl avg100
CommunicationPatients who felt staff communicated well about their care
92-2 vs national avg (94)
0↑ natl avg100
Source: OAS CAHPS (Outpatient and Ambulatory Surgery CAHPS) Survey, Centers for Medicare & Medicaid Services. Scores are linear means on a 0–100 scale.

Safety Metrics

Hospital Transfer Rate

% of patients transferred to a hospital during or after their procedure (ASC-4). Lower is better.

0.05%

natl avg ~1.0%

Source: CMS ASC Quality Reporting Program. Data reflects Medicare patient outcomes reported by the facility.

Google Reviews

3.8
55 reviews
Je Or

Je Or

Just got home from receiving a bunionectomy. From the moment I walked in the door everyone was kind and caring. Dr. Monaco and his entire team, from nurses to the fabulous anesthesiologist, were kind, patient, professional, and gentle. They knew i was a little nervous and made sure everything was clearly explained beforehand, so I knew exactly what to expect. I felt very spoiled for the entire experience, and they had me back home under my heated blankie within 4 hours of us walking in. I could not be more grateful to their team! Thank you for taking such good care of me while I was with you. I wish I could remember all of your names!!!

Verified Google review
Jeff Lebowski

Jeff Lebowski

Fantastic experience, everyone who works here is a real professional and so kind, and Dr. Milisits is one of the best doctors I’ve ever had (both in office visits and in surgery). Would very highly recommend!

Verified Google review
Timothy Howlett

Timothy Howlett

I was erroneously billed over $2400 more than 14 months after my surgery. I've made over 10 phone calls to various offices over nearly 3 weeks (they have separate offices for apparently everything - billing, refunds, surgery center, orthopaedics center, etc.). The Surgery Center does agree that this bill is erroneous and yet, no one seems to have the ability to correct it. This has taken hours of my time and as of this posting, I still do not have a resolution.

Verified Google review
Dianne Manza

Dianne Manza

BEWARE of this place! They steal your money!!! My daughter had surgery in April ‘25 and they demanded the copay payment up front or they would not perform the surgery. We made the copay payment of 1500 to the surgery center. Months go by and we get a bill from the Doctor of 1500.00. When I called the doctor’s office I told them we already paid the 1500 copay to the surgery center. They said they weren’t supposed to take that payment, the payment was supposed to go to the doctor and the insurance would pay the surgery center. I called the insurance company and they confirmed they paid the surgery center. So the surgery center got paid twice and NEVER called to tell me they owe us our money back. I had to make multiple calls to the surgery center and they admitted that they messed up and took my money when they shouldn’t have. I told them they “stole” my money and they didn’t like that word so they kept referring it as I “overpaid”. In the meantime I was sent to collections by the doctor’s office for not paying the bill that the surgery center stole from me. It is now August and no one up until this day has taken responsibility for the mistake that was made nor called me to refund my money. I had to call the surgery center multiple times demanding a refund or else I was taking legal action. They admitted that the reason they now take payment up front is because they have many patients that don’t pay their bills and they never get paid but yet they steal patients money to make up for the loss of the patients that don’t pay. This place is a SCAM and should be shut down with how they operate. If you have surgery here, please BEWARE of this issue and check with your insurance that they were paid or they will never let you know you overpaid and they will STEAL your money!

Verified Google review
richard kern

richard kern

Dr. Richard Balotti and team are exceptional! The nurses and staff are incredible! I received exceptional care from admissions to the end. The knowledge, compassion and professionalism was exemplary. Kudos to all involved in caring for me. The environment was bright, spotless and pleasant. Thank you to all! Richard Kern

Verified Google review

Reviews from Google Places for PREMIER AT EXTON SURGERY CENTER LLC. These are real experiences shared by patients.

Contact

Years in Operation

10 years

Est. 2016

Ownership

For-Profit

Accreditation

Joint Commission

Operating Rooms

3

Specialties

Orthopaedic SurgeryInterventional Pain MedicinePodiatry
Medicare Certified

Verify quality data on the official CMS source:

View on Medicare.gov

Questions to Ask

  • Does my insurance cover this procedure here?
  • What is the surgeon's experience with this procedure?
  • What is the facility's hospital transfer rate?
  • What anesthesia options are available?
  • What is the recovery process and follow-up care?
  • Are there pre-op requirements (labs, fasting, etc.)?