OREGON ENDOSCOPY CENTER, LLC – Ambulatory Surgical Clinic/Center, NPI 1366449910

OREGON ENDOSCOPY CENTER, LLC is a healthcare provider. based in Springfield, Oregon. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 071536 (OR). The NPI Number for OREGON ENDOSCOPY CENTER, LLC is 1366449910

Main info

Organization
Name
OREGON ENDOSCOPY CENTER, LLC
NPI
1366449910
Phone
(541) 868-9555
Address
3355 RIVERBEND DR
Authorized Official
DR. JONATHAN GONENNE MEDICAL DIRECTOR/PHYSICIAN PARTNER MD
Enumeration Date
28 June 2005
Last Update Date
6 July 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for OREGON ENDOSCOPY CENTER, LLC

  • 3355, Riverbend Drive, Springfield, Lane County, Oregon, 97477, United States

    SUITE 510

    SPRINGFIELD, OR 974778800

    Phone: (541) 868-9555

    Fax: (541) 868-9556

    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: 2008-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (253 days ago).

Enrollment records

1

Earliest due date

2025-09-30

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
O20081001000049OAmbulatory Surgical CenterOR2025-09-30

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.

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
45380Biopsy of large bowel using a flexible endoscope684682$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare615612$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope448438$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk196196$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk119119$0
View full utilization report →

Insurance plans in this area (ZIP 97477)

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Reviews

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Frequently asked questions

What number should I use to identify OREGON ENDOSCOPY CENTER, LLC for billing?
Administrative and clinical systems typically use NPI 1366449910 for OREGON ENDOSCOPY CENTER, LLC.
Does the public listing show OREGON ENDOSCOPY CENTER, LLC as active?
OREGON ENDOSCOPY CENTER, LLC's NPI record reflects an active status in NPPES.
What does the directory say OREGON ENDOSCOPY CENTER, LLC does?
Insurance directories may phrase it differently, but here OREGON ENDOSCOPY CENTER, LLC maps to Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to OREGON ENDOSCOPY CENTER, LLC?
OREGON ENDOSCOPY CENTER, LLC shows a connection to Springfield, Oregon in registry-derived data.
Who maintains OREGON ENDOSCOPY CENTER, LLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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