ARDMORE REGIONAL SURGERY CENTER, LLC – Ambulatory Surgical Clinic/Center, NPI 1376709907

ARDMORE REGIONAL SURGERY CENTER, LLC is a healthcare provider. based in Ardmore, Oklahoma. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 0064 (OK). The NPI Number for ARDMORE REGIONAL SURGERY CENTER, LLC is 1376709907

Main info

Organization
Name
ARDMORE REGIONAL SURGERY CENTER, LLC
NPI
1376709907
Phone
(580) 224-0007
Address
2002 12TH AVE NW
Authorized Official
MS. SALLY A GODFREY ADMINISTRATOR CASC
Enumeration Date
4 August 2008
Last Update Date
4 August 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for ARDMORE REGIONAL SURGERY CENTER, LLC

  • 2002, 12th Avenue Northwest, Ardmore, Carter County, Oklahoma, 73401, United States

    SUITE C

    ARDMORE, OK 734011227

    Phone: (580) 224-0007

    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: 2009-02-25

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
O20090225000623OAmbulatory Surgical CenterOKTBD

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
66984Removal of cataract with insertion of prosthetic lens9856$0
63650Insertion of spinal neurostimulator electrode array through skin8241$0
63685Insertion of spinal neurostimulator generator or receiver5151$0
64721Release and/or relocation of hand nerve2725$0
55700Biopsy of prostate gland2423$0
View full utilization report →

Insurance plans in this area (ZIP 73401)

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Reviews

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Frequently asked questions

How do I look up ARDMORE REGIONAL SURGERY CENTER, LLC by NPI?
Use NPI 1376709907 when you need to reference ARDMORE REGIONAL SURGERY CENTER, LLC in forms, claims, or directories.
Is ARDMORE REGIONAL SURGERY CENTER, LLC's NPI currently valid?
The extract we use shows ARDMORE REGIONAL SURGERY CENTER, LLC as active.
Does ARDMORE REGIONAL SURGERY CENTER, LLC list a primary specialty?
If you are matching referrals, note Ambulatory Surgical Clinic/Center for ARDMORE REGIONAL SURGERY CENTER, LLC. Clinical services aligned with this taxonomy classification.
Does ARDMORE REGIONAL SURGERY CENTER, LLC practice in Oklahoma?
You will see Ardmore, Oklahoma on file for ARDMORE REGIONAL SURGERY CENTER, LLC alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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