LIPPY SURGERY CENTER LLC – Ambulatory Surgical Clinic/Center, NPI 1558451583

LIPPY SURGERY CENTER LLC is a healthcare provider. based in Warren, Ohio. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for LIPPY SURGERY CENTER LLC is 1558451583

Main info

Organization
Name
LIPPY SURGERY CENTER LLC
NPI
1558451583
Phone
(330) 856-3075
Address
3893 E MARKET ST
Authorized Official
KELLY MARIE THEODOSOPOULOS CHIEF CLINICAL OFFICER
Enumeration Date
13 October 2006
Last Update Date
27 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for LIPPY SURGERY CENTER LLC

  • 3893, East Market Street, Warren, Trumbull County, Ohio, 44484, United States

    WARREN, OH 444844706

    Phone: (330) 856-3075

    Fax: (330) 856-1187

    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: 2008-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-10-31 (221 days ago).

Enrollment records

1

Earliest due date

2025-10-31

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
O20080513000414OAmbulatory Surgical CenterOH2025-10-31

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
J1097Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml876130$0
66984Removal of cataract with insertion of prosthetic lens233136$0
66821Removal of recurring cataract in lens capsule using a laser3832$0
15769Self soft tissue graft1313$0
View full utilization report →

Insurance plans in this area (ZIP 44484)

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Reviews

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Frequently asked questions

Does LIPPY SURGERY CENTER LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LIPPY SURGERY CENTER LLC uses 1558451583.
Is LIPPY SURGERY CENTER LLC still practicing?
LIPPY SURGERY CENTER LLC is currently listed as active in the public NPI registry.
What is LIPPY SURGERY CENTER LLC's primary classification?
Ambulatory Surgical Clinic/Center is the headline specialty for LIPPY SURGERY CENTER LLC here. Clinical services aligned with this taxonomy classification.
Where should I expect LIPPY SURGERY CENTER LLC on a map?
Expect Warren, Ohio as a primary anchor for LIPPY SURGERY CENTER LLC unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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