Orange Park Endoscopy Center – Ambulatory Surgical Clinic/Center, NPI 1821342858

Orange Park Endoscopy Center is a healthcare provider. based in Orange park, Florida. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for Orange Park Endoscopy Center is 1821342858

Main info

Organization
Name
Orange Park Endoscopy Center
NPI
1821342858
Phone
(931) 626-4323
Address
1465 KINGSLEY AVE
Authorized Official
COLLIN LEMAISTRE OFFICER/AUTHORIZED OFFICIAL
Enumeration Date
29 October 2012
Last Update Date
13 September 2024

Contacts

Main Contact
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness90
Years active:13State licenses:0Updated within 12 months

Provider Addresses for Orange Park Endoscopy Center

  • 1465 KINGSLEY AVE

    ORANGE PARK, FL 320734504

    Phone: (931) 626-4323

    Type: Mailing

  • 805 WELLS RD FL 1

    ORANGE PARK, FL 320732301

    Phone: (904) 643-3326

    Fax: (904) 592-9726

    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: 2013-05-15

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
O20130515000676OAmbulatory 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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare626623$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope592582$0
45380Biopsy of large bowel using a flexible endoscope534533$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk239239$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk137137$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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Reviews

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Frequently asked questions

Where can patients find Orange Park Endoscopy Center's NPI?
You can confirm Orange Park Endoscopy Center with NPI 1821342858; it appears in the national provider directory.
Is Orange Park Endoscopy Center active in the national directory?
Orange Park Endoscopy Center's public NPI profile is in an active state.
Does Orange Park Endoscopy Center list a primary specialty?
If you are matching referrals, note Ambulatory Surgical Clinic/Center for Orange Park Endoscopy Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for Orange Park Endoscopy Center?
The page summarizes Orange Park, Florida for Orange Park Endoscopy Center; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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