SURGERY CENTER AT PELHAM, LLC – Ambulatory Surgical Clinic/Center, NPI 1538164546
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SURGERY CENTER AT PELHAM, LLC
13740 CYPRESS TERRACE CIR
STE 501-503
FORT MYERS, FL 339078827
Phone: (239) 274-1000
Fax: (239) 274-1001
Type: Mailing
South Highway 14, Greer, Greenville County, South Carolina, 29650, United States
GREER, SC 296504926
Phone: (864) 560-5555
Fax: (864) 560-5542
Type: Location
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: 2005-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (129 days ago).
Enrollment records
1
Earliest due date
2026-01-31
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 |
|---|---|---|---|---|
| O20050208000689 | O | Ambulatory Surgical Center | SC | 2026-01-31 |
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 |
|---|---|---|---|---|
| C9290 | Injection, bupivacaine liposome, 1 mg | 5,320 | 20 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 61 | 61 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 43 | 43 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 34 | 34 | $0 |
| 64721 | Release and/or relocation of hand nerve | 24 | 23 | $0 |
Insurance plans in this area (ZIP 33907)
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