Providence Surgery and Procedure Center LLC
NPI 1205545860 · Ambulatory Surgical Clinic/Center · Spokane Valley, WA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Surgery and Procedure Center LLC is a Ambulatory Surgical Clinic/Center organization in Spokane Valley, WA (NPI 1205545860).
Provider details
- NPI number
- 1205545860
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Bailey, Officer/Authorized Official(203) 609-1168
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
2,968 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, Bupivacaine Liposome, 1 MgC9290 | 2,527 | $1 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 85 | $603 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 80 | $425 |
| Incision of Tendon Covering of Finger26055 | 63 | $723 |
| Release And/Or Relocation of Hand Nerve64721 | 54 | $877 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-22
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Frequently asked questions
- What is Providence Surgery and Procedure Center LLC's NPI number?
- Providence Surgery and Procedure Center LLC's National Provider Identifier (NPI) is 1205545860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Surgery and Procedure Center LLC?
- Providence Surgery and Procedure Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Surgery and Procedure Center LLC located?
- Providence Surgery and Procedure Center LLC's practice location on file with NPPES is 16528 E Desmet Ct, Spokane Valley, WA 99216-3522.
- What is Providence Surgery and Procedure Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Surgery and Procedure Center LLC is (509) 944-8960.
- Does Providence Surgery and Procedure Center LLC accept Medicare?
- Providence Surgery and Procedure 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 Providence Surgery and Procedure Center LLC?
- The authorized official listed on Providence Surgery and Procedure Center LLC's NPPES record is Jonathan Bailey, Officer/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Surgery and Procedure Center LLC's NPI active?
- Yes — Providence Surgery and Procedure Center LLC's NPI (1205545860) is active in the NPPES registry as of the last update on 2024-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.