East Portland Surgery Center LLC
NPI 1417287137 · Ambulatory Surgical Clinic/Center · Happy Valley, OR
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Portland Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Happy Valley, OR (NPI 1417287137).
Provider details
- NPI number
- 1417287137
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Boon, Market President(480) 567-0269
- License
- 07-1604 (OR)
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
923 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 Cataract With Insertion of Prosthetic Lens66984 | 351 | $1,288 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 221 | $434 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 99 | $409 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 56 | $815 |
| Injection of Anesthetic And/Or Steroid Drug Into Upper Or Middle Spine Nerve Root Using Imaging Guidance, Single Level64479 | 48 | $436 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-12-31
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Frequently asked questions
- What is East Portland Surgery Center LLC's NPI number?
- East Portland Surgery Center LLC's National Provider Identifier (NPI) is 1417287137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Portland Surgery Center LLC?
- East Portland Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is East Portland Surgery Center LLC located?
- East Portland Surgery Center LLC's practice location on file with NPPES is 9200 Se 91st Ave, Happy Valley, OR 97086-3756.
- What is East Portland Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for East Portland Surgery Center LLC is (503) 772-6160.
- Does East Portland Surgery Center LLC accept Medicare?
- East Portland Surgery 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 East Portland Surgery Center LLC?
- The authorized official listed on East Portland Surgery Center LLC's NPPES record is Eric Boon, Market President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Portland Surgery Center LLC's NPI active?
- Yes — East Portland Surgery Center LLC's NPI (1417287137) is active in the NPPES registry as of the last update on 2024-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.