Boynton Beach Ambulatory Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1750364634

Boynton Beach Ambulatory Surgery Center is a healthcare provider. based in Tampa, Florida. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 935 (FL). The NPI Number for Boynton Beach Ambulatory Surgery Center is 1750364634

Main info

Organization
Name
Boynton Beach Ambulatory Surgery Center
NPI
1750364634
Phone
(813) 549-2134
Address
504 N REO ST
Authorized Official
TRACIE GARI CHIEF ADMININISTRATIVE OFFICER
Enumeration Date
23 November 2005
Last Update Date
20 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness90
Years active:20State licenses:1Digital endpoints

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Provider Addresses for Boynton Beach Ambulatory Surgery Center

  • 504, North Reo Street, Tampa, Hillsborough County, Florida, 33609, United States

    TAMPA, FL 336091013

    Phone: (813) 549-2134

    Fax: (813) 569-1759

    Type: Mailing

  • Hagen Road Elementary School, 10565, Hagen Ranch Road, Boynton Beach, Palm Beach County, Florida, 33437, United States

    SUITE 520

    BOYNTON BEACH, FL 334373724

    Phone: (561) 374-5550

    Fax: (561) 374-9977

    Type: Location

  • PO BOX 628762

    ORLANDO, FL 328628762

    Phone: (813) 549-2134

    Type: Mailing

  • 6910 S DIXIE HIGHWAY SUITE 101

    WEST PALM BEACH, FL 334053724

    Phone: (561) 374-5550

    Fax: (561) 374-9977

    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.

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: 2010-07-29

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
O20100729000742OAmbulatory 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
64493Injection of lower or sacral spine facet joint using imaging guidance, single level8737$0
64490Injection of upper or middle spine facet joint using imaging guidance, single level5421$0
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint4829$0
63650Insertion of spinal neurostimulator electrode array through skin4014$0
62323Injection of substance into lower spine canal using imaging guidance3426$0
View full utilization report →

Insurance plans in this area (ZIP 33609)

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Reviews

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Frequently asked questions

Is there an official ID for Boynton Beach Ambulatory Surgery Center in U.S. healthcare records?
The official identifier for Boynton Beach Ambulatory Surgery Center is NPI 1750364634.
Active or inactive — what applies to Boynton Beach Ambulatory Surgery Center?
You should see Boynton Beach Ambulatory Surgery Center as active in CMS-hosted NPPES data.
What clinical focus is listed for Boynton Beach Ambulatory Surgery Center?
At a glance, Boynton Beach Ambulatory Surgery Center is tied to Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Florida is Boynton Beach Ambulatory Surgery Center registered?
Use Tampa, Florida as the headline location for Boynton Beach Ambulatory Surgery Center here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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