SURGERY CENTER OF LAWTON PROFESSIONAL LLC – Ambulatory Surgical Clinic/Center, NPI 1164478764
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SURGERY CENTER OF LAWTON PROFESSIONAL LLC
Southwest Gore Boulevard, Lawton, Comanche County, Oklahoma, 73505, United States
SUITE D
LAWTON, OK 735056373
Phone: (580) 351-0500
Fax: (580) 351-0500
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: 2012-03-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (893 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| O20120328000043 | O | Ambulatory Surgical Center | OK | 2023-12-31 |
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 |
|---|---|---|---|---|
| 15823 | Removal of excessive skin and fat of upper eyelid | 42 | 21 | $0 |
| 69436 | Incision of eardrum with placement of eardrum tube under general anesthesia | 34 | 21 | $0 |
| 20605 | Aspiration and/or injection of fluid from medium joint | 12 | 12 | $0 |
Insurance plans in this area (ZIP 73505)
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