GASTROINTESTINAL INSTITUTE, LLC. – Ambulatory Surgical Clinic/Center, NPI 1174670723
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GASTROINTESTINAL INSTITUTE, LLC.
2200 JACOBSSEN DR STE A
NORMAL, IL 617615516
Phone: (309) 451-1121
Fax: (309) 451-1212
Type: Location
Jacobssen Drive, Greenbriar East, Normal, McLean County, Illinois, 61761, United States
SUITE A
NORMAL, IL 617615516
Phone: (309) 451-1121
Fax: (309) 451-1212
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.
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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: 2006-04-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (679 days ago).
Enrollment records
1
Earliest due date
2024-07-31
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 |
|---|---|---|---|---|
| O20060427000143 | O | Ambulatory Surgical Center | IL | 2024-07-31 |
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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 469 | 415 | $0 |
| 43252 | Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 429 | 385 | $0 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 297 | 246 | $0 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 169 | 169 | $0 |
| 43250 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using a flexible endoscope with electrical cautery | 145 | 140 | $0 |
Insurance plans in this area (ZIP 61761)
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