The South Bend Clinic LLC
NPI 1073680419 · Clinic/Center · South Bend, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The South Bend Clinic LLC is a Clinic/Center organization in South Bend, IN (NPI 1073680419).
Provider details
- NPI number
- 1073680419
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Meyer, Executive Director(574) 237-9201
Specialties & taxonomies
Ambulatory Health Care Facilities
- Ambulatory Surgical Clinic/Center261QA1903X
Ambulatory Health Care Facilities
Laboratories
Suppliers
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
933 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) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 120 | $1,129 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 115 | $451 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 98 | $424 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 89 | $577 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 79 | $342 |
Practice location
Mailing address
Other names (DBA / former)
- Other name
- South Bend Clinic
- Other name
- South Bend Clinic
Additional practice locations (1)
- 6301 University Commons Ste 230South Bend, IN 46635-1590Phone: (574) 251-2115Fax: (574) 251-2150
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Frequently asked questions
- What is The South Bend Clinic LLC's NPI number?
- The South Bend Clinic LLC's National Provider Identifier (NPI) is 1073680419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The South Bend Clinic LLC?
- The South Bend Clinic LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is The South Bend Clinic LLC located?
- The South Bend Clinic LLC's practice location on file with NPPES is 211 N Eddy St, South Bend, IN 46617-2808.
- What is The South Bend Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for The South Bend Clinic LLC is (574) 299-2450.
- Does The South Bend Clinic LLC accept Medicare?
- The South Bend Clinic 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 The South Bend Clinic LLC?
- The authorized official listed on The South Bend Clinic LLC's NPPES record is Paul Meyer, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The South Bend Clinic LLC's NPI active?
- Yes — The South Bend Clinic LLC's NPI (1073680419) is active in the NPPES registry as of the last update on 2024-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.