Endoscopy Center -Pineville LLC
NPI 1205908456 · Ambulatory Surgical Clinic/Center · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Endoscopy Center -Pineville LLC is a Ambulatory Surgical Clinic/Center organization in Charlotte, NC (NPI 1205908456).
Provider details
- NPI number
- 1205908456
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Rothrock, Credentialing Coordinator(704) 372-7974
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
854 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) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 218 | $319 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 208 | $584 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 149 | $478 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 114 | $450 |
| Insertion of Guide Wire With Dilation of Esophagus Using a Flexible Endoscope43248 | 62 | $396 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High Risk |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Carolina Endoscopy Center -Pineville
- Doing business as
- Carolina Endoscopy Center -Pineville
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Frequently asked questions
- What is Endoscopy Center -Pineville LLC's NPI number?
- Endoscopy Center -Pineville LLC's National Provider Identifier (NPI) is 1205908456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Endoscopy Center -Pineville LLC?
- Endoscopy Center -Pineville LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Endoscopy Center -Pineville LLC located?
- Endoscopy Center -Pineville LLC's practice location on file with NPPES is 10520 Park Rd, Charlotte, NC 28210-8487.
- What is Endoscopy Center -Pineville LLC's phone number?
- The practice phone number listed in the NPPES registry for Endoscopy Center -Pineville LLC is (704) 927-5756.
- Does Endoscopy Center -Pineville LLC accept Medicare?
- Endoscopy Center -Pineville 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 Endoscopy Center -Pineville LLC?
- The authorized official listed on Endoscopy Center -Pineville LLC's NPPES record is Julie Rothrock, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Endoscopy Center -Pineville LLC's NPI active?
- Yes — Endoscopy Center -Pineville LLC's NPI (1205908456) is active in the NPPES registry as of the last update on 2023-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.