CENTER FOR UROLOGIC SURGERY LLC – Ambulatory Surgical Clinic/Center, NPI 1093230450
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CENTER FOR UROLOGIC SURGERY LLC
913 S MAIN ST UNIT 212
GRAPEVINE, TX 760517582
Phone: (817) 329-4611
Type: Mailing
100, Idlewood Drive, Bay Saint Louis, Hancock County, Mississippi, 39520, United States
SAINT LOUIS, MO 63141
Phone: (314) 594-8230
Fax: (314) 594-8246
Type: Location
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: 2017-12-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1050 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20171228000966 | O | Ambulatory Surgical Center | MO | 2023-07-31 |
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 |
|---|---|---|---|---|
| 55700 | Biopsy of prostate gland | 237 | 237 | $0 |
| 50590 | Shock wave crushing of kidney stones | 138 | 125 | $0 |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 110 | 51 | $0 |
| 52332 | Insertion of stent in ureter using an endoscope | 89 | 59 | $0 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 55 | 55 | $0 |
Insurance plans in this area (ZIP 76051)
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