Lakeside Endoscopy Center LLC
NPI 1407992241 · Ambulatory Surgical Clinic/Center · Omaha, NE
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Endoscopy Center LLC is a Ambulatory Surgical Clinic/Center organization in Omaha, NE (NPI 1407992241).
Provider details
- NPI number
- 1407992241
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Harmon, MD(402) 397-7057
Specialties & taxonomies
Ambulatory Health Care Facilities
- Ambulatory Surgical Clinic/Center261QA1903X
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
565 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 Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 177 | $586 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 139 | $498 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 100 | $310 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 70 | $451 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 30 | $455 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Frequently asked questions
- What is Lakeside Endoscopy Center LLC's NPI number?
- Lakeside Endoscopy Center LLC's National Provider Identifier (NPI) is 1407992241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Endoscopy Center LLC?
- Lakeside Endoscopy Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Endoscopy Center LLC located?
- Lakeside Endoscopy Center LLC's practice location on file with NPPES is 17001 Lakeside Hills Plz, Omaha, NE 68130.
- What is Lakeside Endoscopy Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Endoscopy Center LLC is (402) 614-2300.
- Does Lakeside Endoscopy Center LLC accept Medicare?
- Lakeside Endoscopy 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 Lakeside Endoscopy Center LLC?
- The authorized official listed on Lakeside Endoscopy Center LLC's NPPES record is Kimberly Harmon, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Endoscopy Center LLC's NPI active?
- Yes — Lakeside Endoscopy Center LLC's NPI (1407992241) is active in the NPPES registry as of the last update on 2024-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.