OLYMPIA MULTI-SPECIALTY CLINIC AMBULATORY PROCEDURES CNTR PLLC – Ambulatory Surgical Clinic/Center, NPI 1821101197
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OLYMPIA MULTI-SPECIALTY CLINIC AMBULATORY PROCEDURES CNTR PLLC
406, Black Hills Lane Southwest, Olympia, Thurston County, Washington, 98502, United States
OLYMPIA, WA 985028144
Phone: (360) 704-3401
Fax: (360) 754-1783
Type: Mailing
3920, Capitol Mall Drive Southwest, Olympia, Thurston County, Washington, 98502, United States
SUITE 300
OLYMPIA, WA 985028700
Phone: (360) 704-3401
Fax: (360) 754-0298
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.
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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: 2010-03-24
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 |
|---|---|---|---|---|
| O20100324001225 | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 877 | 868 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 507 | 505 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 368 | 366 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 150 | 148 | $0 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 130 | 130 | $0 |
Insurance plans in this area (ZIP 98502)
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