Centralia Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1083785398
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Centralia Surgery Center
704 Lilly Rd SE
Olympia, WA 985012115
Phone: (360) 491-8439
Fax: (360) 491-6328
Type: Location
1900 Cooks Hill Rd
Centralia, WA 985319073
Phone: (360) 491-8439
Fax: (360) 491-6328
Type: Location
PO BOX 368
OLYMPIA, WA 985070368
Phone: (360) 491-8439
Fax: (360) 491-6328
Type: Mailing
3901 CAPITAL MALL DR SW STE B
OLYMPIA, WA 985028654
Phone: (360) 491-8439
Fax: (360) 491-6328
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: 2026-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1046 days ago).
Enrollment records
3
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 |
|---|---|---|---|---|
| O20040217001032 | O | Clinic/Group Practice | WA | 2023-07-31 |
| O20040217001057 | O | Ambulatory Surgical Center | WA | TBD |
| O20260205000011 | O | Ambulatory Surgical Center | WA | TBD |
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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 244 | 233 | $0 |
| 64479 | Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | 204 | 150 | $0 |
| 29848 | Release of wrist ligament using an endoscope | 198 | 164 | $0 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 196 | 95 | $0 |
| 26055 | Incision of tendon covering of finger | 149 | 104 | $0 |
Insurance plans in this area (ZIP 98501)
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