Overland Park Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1629078043
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Overland Park Surgery Center
College Boulevard, Overland Park, Johnson County, Kansas, 66206, United States
SUITE 200
OVERLAND PARK, KS 662111630
Phone: (913) 491-3040
Fax: (913) 491-3640
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: 2005-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (710 days ago).
Enrollment records
2
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20040401000173 | O | Ambulatory Surgical Center | KS | 2024-06-30 |
| O20051109001232 | O | Clinic/Group Practice | KS | 2025-07-31 |
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 |
|---|---|---|---|---|
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 4,054 | 583 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 2,114 | 1,176 | $0 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 836 | 557 | $0 |
| 15823 | Removal of excessive skin and fat of upper eyelid | 156 | 83 | $0 |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 99 | 57 | $0 |
Insurance plans in this area (ZIP 66211)
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