TRAILS EDGE SURGERY CENTER LLC NPI 1639650161

NPI Details

TRAILS EDGE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bonita Springs, FL. TRAILS EDGE SURGERY CENTER, LLC NPI is 1639650161. The provider is registered as an organization entity type.

The provider's business location address is:

28930 TRAILS EDGE BLVD
BONITA SPRINGS, FL
ZIP 34134-582
Phone: (239) 333-3200

The provider's authorized official is Jacky Lucia .
The authorized official title is Chief Administrative Officer and has the following contact phone number (239) 963-7365.

The CLIA number assigned to this NPI record is 10D1056544 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
• Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
• Ultrasound scan of pelvic region through rectum (HCPCS:76872)
• Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
• Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
• Biopsy of prostate gland (HCPCS:55700)
• Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
• Insertion of stent in ureter using an endoscope (HCPCS:52332)
• Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
• Shock wave crushing of kidney stones (HCPCS:50590)
• Dilation of urethra using an endoscope (HCPCS:52281)
• Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
• Biopsy of bladder using an endoscope (HCPCS:52204)
• Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
• Injection of implant material beneath lining of bladder and/or urethra using an endoscope (HCPCS:51715)
• Correction of toe joint deformity (HCPCS:28285)
• Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
• Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope (HCPCS:52214)
• Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
• Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
• Insertion of sacral nerve neurostimulator electrode (HCPCS:64581)
• Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
• Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
• Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)

The enumeration date for this NPI number is 8/23/2018 and was last updated on 8/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: