Adult & Childrens Surgery Center of Southwest Florida – Ambulatory Surgical Clinic/Center, NPI 1770566192

Adult & Childrens Surgery Center of Southwest Florida is a healthcare provider. based in Ft myers, Florida. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for Adult & Childrens Surgery Center of Southwest Florida is 1770566192

Main info

Organization
Name
Adult & Childrens Surgery Center of Southwest Florida
NPI
1770566192
Phone
(239) 936-9700
Address
5238 MASON CORBIN CT
Authorized Official
MS. LISA L KELLEY ADMINISTRATOR RN MBA
Enumeration Date
21 November 2005
Last Update Date
25 June 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Adult & Childrens Surgery Center of Southwest Florida

  • 5238, Mason Corbin Court, Fort Myers, Lee County, Florida, 33907, United States

    STE 101

    FT MYERS, FL 339077738

    Phone: (239) 936-9700

    Fax: (239) 936-9707

    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: 2012-02-13

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
O20120213000282OAmbulatory 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
30140Removal of nasal air passage under lining tissue9648$0
69436Incision of eardrum with placement of eardrum tube under general anesthesia4331$0
31256Incision of nasal sinus using an endoscope4122$0
31276Exploration of nasal sinus using an endoscope3619$0
30520Reshaping of nasal cartilage3434$0
View full utilization report →

Insurance plans in this area (ZIP 33907)

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Reviews

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Frequently asked questions

What is the standard ID for Adult & Childrens Surgery Center of Southwest Florida in the U.S.?
In the U.S., Adult & Childrens Surgery Center of Southwest Florida is identified by NPI 1770566192.
Quick check: is Adult & Childrens Surgery Center of Southwest Florida active?
Public NPPES data shows Adult & Childrens Surgery Center of Southwest Florida with an active NPI status right now.
What type of care does Adult & Childrens Surgery Center of Southwest Florida provide?
Adult & Childrens Surgery Center of Southwest Florida's profile centers on Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Is Adult & Childrens Surgery Center of Southwest Florida tied to Ft Myers, Florida?
If you are local to Ft Myers, Florida, Adult & Childrens Surgery Center of Southwest Florida may be relevant to your search.
Why is information missing for Adult & Childrens Surgery Center of Southwest Florida?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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