ST. JOHNS SURGERY CENTER, LLC – Ambulatory Surgical Clinic/Center, NPI 1659360303

ST. JOHNS SURGERY CENTER, LLC is a healthcare provider. based in Ft myers, Florida. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for ST. JOHNS SURGERY CENTER, LLC is 1659360303

Main info

Organization
Name
ST. JOHNS SURGERY CENTER, LLC
NPI
1659360303
Phone
Not provided
Address
6091 S POINTE BLVD
Authorized Official
MR. KEVIN BECKER CFO
Enumeration Date
17 October 2005
Deactivation Date
18 August 2025
Reactivation Date
3 September 2025
Last Update Date
10 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for ST. JOHNS SURGERY CENTER, LLC

  • Olympia Pointe Boulevard, Olympia Pointe, Fort Myers, Lee County, Florida, 33973, United States

    FT MYERS, FL 339194899

    Phone:

    Type: Mailing

  • PO BOX 11407

    BIRMINGHAM, AL 352468575

    Phone: (864) 359-1308

    Fax: (239) 496-3939

    Type: Mailing

  • 8901 CONFERENCE DR

    FORT MYERS, FL 339194895

    Phone: (239) 466-9555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2012-05-10

PECOS data refreshed: 2026-05-27

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
O20120510000235OAmbulatory 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
66984Removal of cataract with insertion of prosthetic lens1,636974$0
66821Removal of recurring cataract in lens capsule using a laser230161$0
15823Removal of excessive skin and fat of upper eyelid18794$0
65820Incision to improve eye fluid flow10463$0
66982Complex removal of cataract with insertion of prosthetic lens3429$0
View full utilization report →

Insurance plans in this area (ZIP 33919)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does ST. JOHNS SURGERY CENTER, LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ST. JOHNS SURGERY CENTER, LLC uses 1659360303.
Does the file indicate ST. JOHNS SURGERY CENTER, LLC is practicing under active NPI?
Directory data currently reports ST. JOHNS SURGERY CENTER, LLC as active.
What taxonomy line describes ST. JOHNS SURGERY CENTER, LLC?
For research purposes, treat ST. JOHNS SURGERY CENTER, LLC as Ambulatory Surgical Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ST. JOHNS SURGERY CENTER, LLC on a map?
Expect Ft Myers, Florida as a primary anchor for ST. JOHNS SURGERY CENTER, LLC unless the record lists multiple sites.
Why does ST. JOHNS SURGERY CENTER, LLC have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

LEE ISLAND COAST SURGERY CENTER

Ambulatory Surgical Clinic/Center
4960 SW 72ND AVE STE 405
NPI: 1770588584

BARKLEY SURGICENTER, LLC

Ambulatory Surgical Clinic/Center
63, Barkley Circle, Fort Myers, Lee County, Florida, 33907, United States
NPI: 1750363461
5238, Mason Corbin Court, Fort Myers, Lee County, Florida, 33907, United States
NPI: 1770566192

SURGERY CENTER OF SOUTHWEST FLORIDA INC

Ambulatory Surgical Clinic/Center
12631 WHITEHALL DR
NPI: 1689624793

J Bertrand Davis MD FACS

Ambulatory Surgical Clinic/Center
Golisano Children's Hospital of Southwest Florida, 9981, South Healthpark Drive, Cypress Cove Villas, Fort Myers, Lee County, Florida, 33908, United States
NPI: 1144338302
9709 LAKESIDE BLVD STE 350
NPI: 1366549511

The Center for Specialized Surgery

Ambulatory Surgical Clinic/Center
14631 HOPE CENTER LOOP
NPI: 1871868422