The Plastic SurgiCentre, Inc – Ambulatory Surgical Clinic/Center, NPI 1083780662
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for The Plastic SurgiCentre, Inc
535, South Pine Street, Riverside, Spokane, Spokane County, Washington, 99202, United States
SPOKANE, WA 992021347
Phone: (509) 623-2160
Fax: (509) 623-1135
Type: Mailing
535, South Pine Street, Spokane, Spokane County, Washington, 99202, United States
SPOKANE, WA 992021347
Phone: (509) 623-2160
Fax: (509) 623-1135
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: 2004-03-09
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 |
|---|---|---|---|---|
| O20040309001065 | O | Ambulatory Surgical Center | WA | 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 |
|---|---|---|---|---|
| 19380 | Surgical change to reconstructed breast | 41 | 24 | $0 |
| 19342 | Placement of implant on separate day of breast reconstruction | 29 | 15 | $0 |
| 15771 | Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, 50.0 cc or less | 15 | 15 | $0 |
Insurance plans in this area (ZIP 99202)
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