UPSTATE SURGERY CENTER, LLC – Ambulatory Surgical Clinic/Center, NPI 1619998523
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for UPSTATE SURGERY CENTER, LLC
9709 LAKESIDE BLVD STE 350
SPRING, TX 773811216
Phone: (713) 489-2198
Fax: (713) 489-2978
Type: Mailing
10 ENTERPRISE BLVD STE 109
GREENVILLE, SC 296153534
Phone: (864) 813-7226
Fax: (864) 556-7552
Type: Location
12670 CREEKSIDE LN STE 401
SUITE 401
FORT MYERS, FL 339193370
Phone: (239) 274-1000
Fax: (239) 274-1001
Type: Mailing
10, Enterprise Boulevard, Greenville, Greenville County, South Carolina, 29615, United States
SUITE 104
GREENVILLE, SC 296156301
Phone: (864) 458-7141
Fax: (864) 676-9116
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: 2004-10-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041008000834 | O | Ambulatory Surgical Center | SC | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,322 | 806 | $0 |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 96 | 78 | $0 |
| 67904 | Repair of tendon of upper eyelid | 91 | 50 | $0 |
| 15823 | Removal of excessive skin and fat of upper eyelid | 55 | 28 | $0 |
| 66710 | Destruction of lens tissue using laser | 26 | 25 | $0 |
Insurance plans in this area (ZIP 77381)
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