SUNCOAST SURGERY CENTER, LLC – Ambulatory Surgical Clinic/Center, NPI 1043290653
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SUNCOAST SURGERY CENTER, LLC
PO BOX 61199
FORT MYERS, FL 339061199
Phone: (239) 791-2273
Fax: (239) 790-0375
Type: Mailing
12731 NEW BRITTANY BLVD
FORT MYERS, FL 339073632
Phone: (239) 791-2273
Fax: (239) 790-0375
Type: Location
9617 GULF RESEARCH LN
FORT MYERS, FL 339124555
Phone: (239) 418-0999
Fax: (239) 418-0991
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (195 days ago).
Enrollment records
2
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20051122000411 | O | Ambulatory Surgical Center | FL | 2025-11-30 |
| O20211221001600 | O | Ambulatory Surgical Center | FL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4,892 | 680 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,191 | 676 | $0 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 506 | 353 | $0 |
| 15823 | Removal of excessive skin and fat of upper eyelid | 222 | 112 | $0 |
| 65855 | Laser repair to improve eye fluid flow | 128 | 88 | $0 |
Insurance plans in this area (ZIP 33906)
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