SOUTHWEST WASHINGTON REGIONAL SURGERY CENTER, LLC – Ambulatory Surgical Clinic/Center, NPI 1366536880
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SOUTHWEST WASHINGTON REGIONAL SURGERY CENTER, LLC
Northeast Mother Joseph Place, Vancouver, Clark County, Washington, 98664, United States
SUITE 200
VANCOUVER, WA 986643294
Phone: (360) 449-6300
Fax: (360) 449-6370
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2004-03-15
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 |
|---|---|---|---|---|
| O20040315001042 | 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 |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 897 | 512 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 407 | 152 | $0 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 140 | 71 | $0 |
| 29848 | Release of wrist ligament using an endoscope | 125 | 97 | $0 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 122 | 54 | $0 |
Insurance plans in this area (ZIP 98664)
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