Alliance Surgical Center LLC
NPI 1417286428 · Ambulatory Surgical Clinic/Center · Lake Mary, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alliance Surgical Center LLC is a Ambulatory Surgical Clinic/Center organization in Lake Mary, FL (NPI 1417286428).
Provider details
- NPI number
- 1417286428
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Rustin, Chief Administrative Officer(407) 708-5383
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
16 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
446 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 Large Bowel Using a Flexible Endoscope45380 | 95 | $461 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 93 | $559 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 91 | $320 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 60 | $433 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin63650 | 31 | $4,268 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High Risk |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-12-22
- Last updated
- 2018-10-17
Frequently asked questions
- What is Alliance Surgical Center LLC's NPI number?
- Alliance Surgical Center LLC's National Provider Identifier (NPI) is 1417286428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alliance Surgical Center LLC?
- Alliance Surgical Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Alliance Surgical Center LLC located?
- Alliance Surgical Center LLC's practice location on file with NPPES is 917 Rinehart Rd, Lake Mary, FL 32746.
- What is Alliance Surgical Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Alliance Surgical Center LLC is (407) 708-5383.
- Does Alliance Surgical Center LLC accept Medicare?
- Alliance Surgical 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 Alliance Surgical Center LLC?
- The authorized official listed on Alliance Surgical Center LLC's NPPES record is Patricia Rustin, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alliance Surgical Center LLC's NPI active?
- Yes — Alliance Surgical Center LLC's NPI (1417286428) is active in the NPPES registry as of the last update on 2018-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.