Surgical Center of Connecticut LLC
NPI 1023113701 · Ambulatory Surgical Clinic/Center · Bridgeport, CT
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgical Center of Connecticut LLC is a Ambulatory Surgical Clinic/Center organization in Bridgeport, CT (NPI 1023113701).
Provider details
- NPI number
- 1023113701
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Wallace, Administrator(203) 371-2986
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 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
134 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) |
|---|---|---|
| Release And/Or Relocation of Hand Nerve64721 | 40 | $963 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 22 | $462 |
| Shock Wave Crushing of Kidney Stones50590 | 22 | $1,744 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 19 | $359 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 16 | $656 |
| Repair of Tendon, Finger, And/Or Palm of Hand |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2015-07-28
Frequently asked questions
- What is Surgical Center of Connecticut LLC's NPI number?
- Surgical Center of Connecticut LLC's National Provider Identifier (NPI) is 1023113701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgical Center of Connecticut LLC?
- Surgical Center of Connecticut LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgical Center of Connecticut LLC located?
- Surgical Center of Connecticut LLC's practice location on file with NPPES is 4920 Main St, Bridgeport, CT 06606-1300.
- What is Surgical Center of Connecticut LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgical Center of Connecticut LLC is (203) 371-2986.
- Does Surgical Center of Connecticut LLC accept Medicare?
- Surgical Center of Connecticut 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 Surgical Center of Connecticut LLC?
- The authorized official listed on Surgical Center of Connecticut LLC's NPPES record is Charles Wallace, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgical Center of Connecticut LLC's NPI active?
- Yes — Surgical Center of Connecticut LLC's NPI (1023113701) is active in the NPPES registry as of the last update on 2015-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.