ADVANCED SURGERY CENTER LLC – Ambulatory Surgical Clinic/Center, NPI 1619965324

ADVANCED SURGERY CENTER LLC is a healthcare provider. based in Saint louis, Missouri. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 132-0 (MO). The NPI Number for ADVANCED SURGERY CENTER LLC is 1619965324

Main info

Organization
Name
ADVANCED SURGERY CENTER LLC
NPI
1619965324
Phone
(314) 205-1610
Address
12607 OLIVE BLVD
Authorized Official
MELINDA SMITH ADMINISTRATOR R.N.
Enumeration Date
7 October 2005
Last Update Date
11 August 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ADVANCED SURGERY CENTER LLC

  • Olive Boulevard, Chesterfield, Saint Louis County, Missouri, 631462, United States

    SAINT LOUIS, MO 631416313

    Phone: (314) 205-1610

    Fax: (314) 205-1233

    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: 2003-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (680 days ago).

Enrollment records

1

Earliest due date

2024-07-31

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
O20031204000120OAmbulatory Surgical CenterMO2024-07-31

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.

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
66984Removal of cataract with insertion of prosthetic lens676460$0
66821Removal of recurring cataract in lens capsule using a laser6149$0
66982Complex removal of cataract with insertion of prosthetic lens5444$0
0449TInsertion of initial aqueous fluid drainage device into eye1715$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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Reviews

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Frequently asked questions

What federal number belongs to ADVANCED SURGERY CENTER LLC?
The federal identifier for ADVANCED SURGERY CENTER LLC is NPI 1619965324.
Is ADVANCED SURGERY CENTER LLC's NPI currently valid?
The extract we use shows ADVANCED SURGERY CENTER LLC as active.
What kind of provider is ADVANCED SURGERY CENTER LLC?
The page reflects Ambulatory Surgical Clinic/Center for ADVANCED SURGERY CENTER LLC. Clinical services aligned with this taxonomy classification.
Does ADVANCED SURGERY CENTER LLC practice in Missouri?
You will see Saint Louis, Missouri on file for ADVANCED SURGERY CENTER LLC alongside any extra practice locations.
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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