Vista Surgical Center – Ambulatory Surgical Clinic/Center, NPI 1023373628

Vista Surgical Center is a healthcare provider. based in Canton, Ohio. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for Vista Surgical Center is 1023373628

Main info

Organization
Name
Vista Surgical Center
NPI
1023373628
Phone
(330) 526-0530
Address
4319 EXECUTIVE CIR NW
Authorized Official
JENNIFER BOYD BALDOCK OFFICER AND AUTHORIZED OFFICIAL
Enumeration Date
10 July 2012
Last Update Date
8 February 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Vista Surgical Center

  • 4319 EXECUTIVE CIR NW

    CANTON, OH 447182999

    Phone: (330) 526-0530

    Fax: (330) 526-0531

    Type: Mailing

  • 4319 EXECUTIVE CIRCLE NW

    CANTON, OH 44718

    Phone: (330) 526-0530

    Fax: (330) 526-0531

    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.

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: 2013-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20130509000623OAmbulatory Surgical CenterOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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
J1097Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml1,854296$0
66984Removal of cataract with insertion of prosthetic lens836549$0
J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg43673$0
66821Removal of recurring cataract in lens capsule using a laser209147$0
66982Complex removal of cataract with insertion of prosthetic lens4841$0
View full utilization report →

Insurance plans in this area (ZIP 44718)

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Reviews

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Frequently asked questions

Can I use this page to confirm Vista Surgical Center's NPI?
Yes. Vista Surgical Center is listed with NPI 1023373628 in the public NPI dataset.
Does CMS list Vista Surgical Center as active?
Yes — Vista Surgical Center is active in the NPI listing used on this page.
What healthcare role does Vista Surgical Center hold?
Scheduling teams often label Vista Surgical Center under Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
What address line appears for Vista Surgical Center?
Vista Surgical Center's geographic hint is Canton, Ohio in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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