Dr. Krishna Jain is the leading expert on office-based endovascular centers.

His newly released book Office-Based Endovascular Centers synthesizes the entire process of operating an office-based practice – from regulation and legal issues through to business models and optimal endovascular procedures – helping you ensure the best the possible outcomes for your patients.


Improving Health. Preserving Limbs. Saving Lives.

National Surgical Ventures LLC (NSV) was founded in 2018 to meet the growing need for, and interest in providing surgical and endovascular care to patients outside of the hospital.

Over the last few years, CMS and other payors have been steadily approving more procedures for reimbursement when performed in either the ASC or the OBL. Currently, more than 600 OBLs and over 5000 Medicare approved ASCs are operational in the U.S.

Depending upon the type of procedure NSV can help physicians meet the needs of patients by providing care at one geographical location in a hybrid OBL/ASC model. Under the leadership of renowned vascular surgeon Krishna Jain, MD, NSV can provide a turnkey solution to interventional cardiologists, vascular surgeons, and/or interventional radiologists interested in providing safe, efficient and effective care outside of the hospital, in the OBL or ASC setting.

We are committed to a multidisciplinary model of providing care. In a multidisciplinary model for limb preservation :Vascular surgeons, plastic/reconstructive surgeons and surgical podiatrists could perform open procedures in the ASC setting, while the endovascular specialists Vascular surgeons, Interventional cardiologists and interventional radiologists) could perform procedures in either the ASC or the OBL depending on regulatory requirements.

The center may function as an ASC on certain days/week, and as OBL on others. This allows the physicians maximum flexibility to have access to both an ASC and OBL in one place, with control over such processes as scheduling, follow-up, and quality/infection control. The center can offer endovascular care for limb preservation, management of dialysis access, venous procedures, embolization procedures like uterine fibroid embolization, port placement and pacemaker related procedures etc.

Our mission is to improve health, preserve limbs and save lives in the most ethical, efficient and cost effective manner.

America has the most advanced medical technology but a wasteful health care delivery system. There continues to be innovation in delivering care. In 2005 in the deficit reduction act CMS was authorized to start paying for percutaneous endovascular procedures in the office setting. In 2008 peripheral vascular intervention was added to the list of procedures that could be performed in the office lab. The list of types of procedures that could be done in the office was subsequently expanded. This expansion has resulted in tremendous growth of office based labs (OBL). As a result, there are currently more than 600 office based endovascular centers.

Ambulatory surgery centers (ASC) predate the office-based centers. Currently there are more ambulatory surgery centers than acute care hospitals. There are certain cases that can be performed in the ASC but not in in the office and vice versa. Certain cardiac procedures are reimbursed only when they are performed in the ASC. We are optimizing delivery of care by combining the benefits of an ASC and OBL. It is better for patients to receive their care in a multi-specialty ambulatory setting without the hassles and expense incurred in the hospital system.