RIVERSIDE PARK SURGICENTER LLC – Ambulatory Surgical Clinic/Center, NPI 1881697522
Ambulatory Surgical Clinic/Center
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RIVERSIDE PARK SURGICENTER LLC
First Coast Eyewear, 2001, College Street, Riverside, Jacksonville, Duval County, Florida, 32205, United States
JACKSONVILLE, FL 322043703
Phone: (904) 355-9800
Fax: (904) 356-8680
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.
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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: 2004-02-17
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (288 days ago).
Enrollment records
1
Earliest due date
2025-08-31
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 |
|---|---|---|---|---|
| O20040217000053 | O | Ambulatory Surgical Center | FL | 2025-08-31 |
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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 963 | 612 | $0 |
| 15823 | Removal of excessive skin and fat of upper eyelid | 137 | 70 | $0 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 117 | 92 | $0 |
| 67904 | Repair of tendon of upper eyelid | 46 | 25 | $0 |
| 65855 | Laser repair to improve eye fluid flow | 44 | 36 | $0 |
Insurance plans in this area (ZIP 32204)
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