Surgery Center at St. Vincent, LLC
NPI 1316449168 · Ambulatory Surgical Clinic/Center · Portland, OR
Provider details
- NPI number
- 1316449168
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Dudley, Chief Administrative Officer(971) 339-7791
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
8 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
472 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 Nasal Air Passage Under Lining Tissue30140 | 62 | $717 |
| Removal of Prostate Gland Using an Electrocautery Knife Through Urethra With Control of Bleeding Using an Endoscope52601 | 55 | $2,629 |
| Crushing of Stone of Ureter With Insertion of Stent Using an Endoscope52356 | 46 | $2,598 |
| Imaging of Urinary Tract Following Injection of a Contrast Agent74420 | 43 | $215 |
| Exploration of Nasal Sinus Using an Endoscope31276 | 33 | $1,889 |
| Reshaping of Nasal Cartilage30520 | 30 | $864 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- East Pavilion Surgery Center
Registry dates
- Enumerated
- 2018-03-07
- Last updated
- 2019-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.