FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC – Ambulatory Surgical Clinic/Center, NPI 1346468253
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC
PO BOX 147
MINNEAPOLIS, MN 554400147
Phone: (612) 672-5390
Type: Mailing
1700 UNIVERSITY AVE W
SAINT PAUL, MN 551043727
Phone: (612) 672-6740
Fax: (612) 884-3592
Type: Mailing
14500 99TH AVENUE NORTH
MAPLE GROVE, MN 55369
Phone: (763) 898-1424
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: 2007-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (772 days ago).
Enrollment records
1
Earliest due date
2024-04-30
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 |
|---|---|---|---|---|
| O20070723000182 | O | Ambulatory Surgical Center | MN | 2024-04-30 |
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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 95 | 95 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 69 | 44 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 57 | 56 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 56 | 56 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 42 | 42 | $0 |
Insurance plans in this area (ZIP 55440)
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