UNION PINES SURGERY CENTER,LLC – Ambulatory Surgical Clinic/Center, NPI 1487655627
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for UNION PINES SURGERY CENTER,LLC
4800, South 109th East Avenue, Tulsa, Tulsa County, Oklahoma, 74146, United States
TULSA, OK 74146
Phone: (918) 742-2502
Fax: (918) 745-9750
Type: Mailing
4808 S 109TH EAST AVE
TULSA, OK 741465822
Phone: (918) 742-2502
Fax: (918) 745-9750
Type: Mailing
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: 2005-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (193 days ago).
Enrollment records
1
Earliest due date
2025-11-30
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 |
|---|---|---|---|---|
| O20050826000206 | O | Ambulatory Surgical Center | OK | 2025-11-30 |
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 |
|---|---|---|---|---|
| C9290 | Injection, bupivacaine liposome, 1 mg | 9,177 | 65 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 1,107 | 545 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 174 | 62 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 159 | 119 | $0 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 137 | 107 | $0 |
Insurance plans in this area (ZIP 74146)
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