GRAND ISLAND SURGICAL CENTER LLC – Ambulatory Surgical Clinic/Center, NPI 1316940539
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for GRAND ISLAND SURGICAL CENTER LLC
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States of America
GRAND ISLAND, NE 688025434
Phone: (308) 384-6400
Fax: (308) 398-6420
Type: Mailing
Richmond Circle, Grand Island, Hall County, Nebraska, 68803, United States of America
GRAND ISLAND, NE 688033927
Phone: (308) 384-6400
Fax: (308) 398-6420
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: 2010-02-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (648 days ago).
Enrollment records
1
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20100201000337 | O | Ambulatory Surgical Center | NE | 2024-08-31 |
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 | 1,577 | 245 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 691 | 447 | $0 |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 556 | 84 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 224 | 224 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 102 | 100 | $0 |
Insurance plans in this area (ZIP 68802)
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