ST JOSEPH CENTER FOR OUTPATIENT SURGERY, LLC – Ambulatory Surgical Clinic/Center, NPI 1891759569
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ST JOSEPH CENTER FOR OUTPATIENT SURGERY, LLC
4510, Frederick Avenue, Saint Joseph, Buchanan County, Missouri, 64506, United States
SAINT JOSEPH, MO 645063238
Phone: (816) 364-9992
Fax: (816) 364-9996
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)
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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: 2003-12-15
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
1
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 |
|---|---|---|---|---|
| O20031215000966 | O | Ambulatory Surgical Center | MO | 2024-06-30 |
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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 338 | 326 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 328 | 328 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 241 | 240 | $0 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 182 | 171 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 139 | 121 | $0 |
Insurance plans in this area (ZIP 64506)
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