AESTHETIC SURGERY CENTER OF EUGENE INC – Ambulatory Surgical Clinic/Center, NPI 1174520191

AESTHETIC SURGERY CENTER OF EUGENE INC is a healthcare provider. based in Eugene, Oregon. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 071545 (OR). The NPI Number for AESTHETIC SURGERY CENTER OF EUGENE INC is 1174520191

Main info

Organization
Name
AESTHETIC SURGERY CENTER OF EUGENE INC
NPI
1174520191
Phone
(541) 434-0922
Address
2550 WILLAKENZIE RD
Authorized Official
BLAKE V FAUSETT OWNER/MEDICAL DIRECTOR MD, PHD
Enumeration Date
5 July 2005
Last Update Date
5 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for AESTHETIC SURGERY CENTER OF EUGENE INC

  • 2550, Willakenzie Road, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974017865

    Phone: (541) 434-0922

    Fax: (541) 434-4369

    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: 2004-05-28

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
O20040528001353OAmbulatory Surgical CenterORTBD

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
67904Repair of tendon of upper eyelid12161$0
15823Removal of excessive skin and fat of upper eyelid9950$0
67917Extensive repair of turning-outward eyelid defect4028$0
View full utilization report →

Insurance plans in this area (ZIP 97401)

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Reviews

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Frequently asked questions

What is the registry number for AESTHETIC SURGERY CENTER OF EUGENE INC?
The registry entry for AESTHETIC SURGERY CENTER OF EUGENE INC shows NPI 1174520191.
Should I treat AESTHETIC SURGERY CENTER OF EUGENE INC as an active provider?
Patients and plans typically see AESTHETIC SURGERY CENTER OF EUGENE INC as active in the national extract.
What does the directory say AESTHETIC SURGERY CENTER OF EUGENE INC does?
Insurance directories may phrase it differently, but here AESTHETIC SURGERY CENTER OF EUGENE INC maps to Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Is AESTHETIC SURGERY CENTER OF EUGENE INC tied to Eugene, Oregon?
If you are local to Eugene, Oregon, AESTHETIC SURGERY CENTER OF EUGENE INC may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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