Burnside Surgery Center LLC
NPI 1013417351 · Ambulatory Surgical Clinic/Center · Gresham, OR
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Burnside Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Gresham, OR (NPI 1013417351).
Provider details
- NPI number
- 1013417351
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Oleg Maksimov, Director(503) 915-9217
- License
- MD28526 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
489 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 129 | $434 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 108 | $404 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 90 | $785 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 50 | $28 |
| Injection of Anesthetic Agent And/Or Steroid Into Other Nerve Or Branch64450 | 43 | $44 |
| Insertion of Peripheral Nerve Neurostimulator Electrode Through Skin |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-13
- Last updated
- 2021-05-23
- Certified
- 2021-05-23
Frequently asked questions
- What is Burnside Surgery Center LLC's NPI number?
- Burnside Surgery Center LLC's National Provider Identifier (NPI) is 1013417351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Burnside Surgery Center LLC?
- Burnside Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Burnside Surgery Center LLC located?
- Burnside Surgery Center LLC's practice location on file with NPPES is 689 Nw Burnside Rd Fl 1, Gresham, OR 97030-3739.
- What is Burnside Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Burnside Surgery Center LLC is (503) 382-8140.
- Does Burnside Surgery Center LLC accept Medicare?
- Burnside Surgery Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Burnside Surgery Center LLC?
- The authorized official listed on Burnside Surgery Center LLC's NPPES record is Oleg Maksimov, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Burnside Surgery Center LLC's NPI active?
- Yes — Burnside Surgery Center LLC's NPI (1013417351) is active in the NPPES registry as of the last update on 2021-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.