Southport Surgery Center LLC
NPI 1134857501 · Ambulatory Surgical Clinic/Center · Southport, CT
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southport Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Southport, CT (NPI 1134857501).
Provider details
- NPI number
- 1134857501
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keith Gipson, Manager(203) 980-0368
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
3 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
89 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 | 53 | $1,234 |
| Biopsy of Prostate Gland55700 | 18 | $998 |
| Ultrasound Scan of Pelvic Region Through Rectum76872 | 18 | $61 |
Typical Medicare-allowed amounts for these services range $61–$1,234 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-12
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Frequently asked questions
- What is Southport Surgery Center LLC's NPI number?
- Southport Surgery Center LLC's National Provider Identifier (NPI) is 1134857501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southport Surgery Center LLC?
- Southport Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southport Surgery Center LLC located?
- Southport Surgery Center LLC's practice location on file with NPPES is 2600 Post Rd, Southport, CT 06890-1258.
- What is Southport Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Southport Surgery Center LLC is (203) 980-0368.
- Does Southport Surgery Center LLC accept Medicare?
- Southport 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 Southport Surgery Center LLC?
- The authorized official listed on Southport Surgery Center LLC's NPPES record is Keith Gipson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southport Surgery Center LLC's NPI active?
- Yes — Southport Surgery Center LLC's NPI (1134857501) is active in the NPPES registry as of the last update on 2022-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.