Surgcenter of Pine Ridge LLC
NPI 1285202077 · Ambulatory Surgical Clinic/Center · Bonita Springs, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgcenter of Pine Ridge LLC is a Ambulatory Surgical Clinic/Center organization in Bonita Springs, FL (NPI 1285202077).
Provider details
- NPI number
- 1285202077
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Collin Lemaistre, Officer/Authorized Official(214) 213-0732
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
5 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
244 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) |
|---|---|---|
| Imaging Guidance for Procedure, 60 Minutes Or Less76000 | 52 | $29 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 44 | $675 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 41 | $419 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 23 | $369 |
| Repair of Shoulder Rotator Cuff Using an Endoscope29827 | 22 | $2,914 |
| Partial Removal of Collar Bone at Shoulder Using an Endoscope |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bonita Springs Surgery Center
- Doing business as
- Bonita Springs Surgery Center
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Frequently asked questions
- What is Surgcenter of Pine Ridge LLC's NPI number?
- Surgcenter of Pine Ridge LLC's National Provider Identifier (NPI) is 1285202077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgcenter of Pine Ridge LLC?
- Surgcenter of Pine Ridge LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgcenter of Pine Ridge LLC located?
- Surgcenter of Pine Ridge LLC's practice location on file with NPPES is 12871 Trade Way Dr, Bonita Springs, FL 34135-7334.
- What is Surgcenter of Pine Ridge LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgcenter of Pine Ridge LLC is (239) 478-0051.
- Does Surgcenter of Pine Ridge LLC accept Medicare?
- Surgcenter of Pine Ridge 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 Surgcenter of Pine Ridge LLC?
- The authorized official listed on Surgcenter of Pine Ridge LLC's NPPES record is Collin Lemaistre, Officer/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgcenter of Pine Ridge LLC's NPI active?
- Yes — Surgcenter of Pine Ridge LLC's NPI (1285202077) is active in the NPPES registry as of the last update on 2024-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.