FLEMING ISLAND SURGERY CENTER – Ambulatory Surgical Clinic/Center, NPI 1457428005

FLEMING ISLAND SURGERY CENTER is a healthcare provider. based in Orange park, Florida. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. PENDING (FL). The NPI Number for FLEMING ISLAND SURGERY CENTER is 1457428005

Main info

Organization
Name
FLEMING ISLAND SURGERY CENTER
NPI
1457428005
Phone
(904) 541-3048
Address
1670 EAGLE HARBOR PKWY
Authorized Official
MS. TARA SHEA MCLAUGHLIN DIRECTOR OF CONTRACTING
Enumeration Date
29 November 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for FLEMING ISLAND SURGERY CENTER

  • 1670 EAGLE HARBOR PKWY

    SUITE B

    ORANGE PARK, FL 320034806

    Phone: (904) 541-3048

    Fax: (904) 215-7960

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-03-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070301000547OAmbulatory Surgical CenterFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1097Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml1,683276$0
66984Removal of cataract with insertion of prosthetic lens908556$0
45380Biopsy of large bowel using a flexible endoscope155155$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope146146$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare119118$0
View full utilization report →

Insurance plans in this area (ZIP 32003)

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Reviews

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Frequently asked questions

Can I cross-check FLEMING ISLAND SURGERY CENTER using NPI 1457428005?
NPI 1457428005 belongs to FLEMING ISLAND SURGERY CENTER; compare other details if you need extra assurance.
Active or inactive — what applies to FLEMING ISLAND SURGERY CENTER?
You should see FLEMING ISLAND SURGERY CENTER as active in CMS-hosted NPPES data.
What area of care is associated with FLEMING ISLAND SURGERY CENTER?
FLEMING ISLAND SURGERY CENTER's record emphasizes Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
What practice footprint exists for FLEMING ISLAND SURGERY CENTER?
Travel planning: use Orange Park, Florida as the reference point for FLEMING ISLAND SURGERY CENTER, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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