Lakewood Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1194727883
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Lakewood Surgery Center
Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SUITE 901
SEATTLE, WA 981041172
Phone: (206) 264-8100
Fax: (206) 264-8689
Type: Mailing
MVP Physical Therapy, 7308, Bridgeport Way West, Chandlewych Glen, Lakewood, Pierce County, Washington, 98499-8398, United States
SUITE 102
LAKEWOOD, WA 984998000
Phone: (253) 584-5252
Fax: (253) 582-1617
Type: Location
7308 BRIDGEPORT WAY W STE 102
LAKEWOOD, WA 984998000
Phone: (253) 584-5252
Fax: (253) 582-1617
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: 2017-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (895 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| O20171211000207 | O | Ambulatory Surgical Center | WA | 2023-12-31 |
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 |
|---|---|---|---|---|
| C9290 | Injection, bupivacaine liposome, 1 mg | 10,128 | 39 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 131 | 83 | $0 |
| 29848 | Release of wrist ligament using an endoscope | 115 | 96 | $0 |
| 26055 | Incision of tendon covering of finger | 108 | 81 | $0 |
| 28285 | Correction of toe joint deformity | 85 | 37 | $0 |
Insurance plans in this area (ZIP 98104)
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