DOCTORS PARK SURGERY CENTER, LLC – Ambulatory Surgical Clinic/Center, NPI 1417906660
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DOCTORS PARK SURGERY CENTER, LLC
2090 NE WYATT CT
SUITE 102
BEND, OR 977017687
Phone: (541) 389-5931
Fax: (541) 389-5932
Type: Location
1A BURTON HILLS BLVD # L&C
NASHVILLE, TN 372156187
Phone: (615) 240-3820
Fax: (615) 234-1720
Type: Mailing
20, Burton Hills Boulevard, Nashville, Davidson County, Tennessee, 37215, United States
SUITE 500 ATTN: L&C
NASHVILLE, TN 372156197
Phone: (615) 240-3820
Fax: (615) 234-1720
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: 2010-01-08
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100108000805 | O | Ambulatory Surgical Center | OR | TBD |
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.
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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 5,000 | 37 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 856 | 731 | $0 |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 130 | 123 | $0 |
| 55700 | Biopsy of prostate gland | 115 | 114 | $0 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 95 | 76 | $0 |
Insurance plans in this area (ZIP 97701)
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