South Denver Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1447797105
Ambulatory Surgical Clinic/Center
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for South Denver Surgery Center
14201 DALLAS PKWY
DALLAS, TX 752542916
Phone: (972) 763-3859
Fax: (972) 920-3445
Type: Mailing
15305 Dallas Pkwy
Suite 1600
Addison, TX 750014637
Phone: (972) 763-3893
Fax: (972) 692-6745
Type: Location
300 E Mineral Ave Ste 10
Littleton, CO 801222655
Phone: (972) 763-3893
Fax: (972) 692-6745
Type: Location
300, East Mineral Avenue, Littleton, Arapahoe County, Colorado, 80122, United States
LITTLETON, CO 801222654
Phone: (972) 763-3893
Fax: (972) 692-6745
Type: Mailing
9, East Mineral Avenue, Littleton, Arapahoe County, Colorado, 80122, United States
LITTLETON, CO 80122
Phone: (720) 360-3400
Fax: (720) 360-3410
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: 2017-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1016 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| O20170724001957 | O | Ambulatory Surgical Center | CO | 2023-08-31 |
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 |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 742 | 393 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 359 | 131 | $0 |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 244 | 128 | $0 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 164 | 72 | $0 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 138 | 71 | $0 |
Insurance plans in this area (ZIP 75254)
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