Willow Park Endoscopy Center, LLC
NPI 1487399168 · Ambulatory Surgical Clinic/Center · Willow Park, TX
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Willow Park Endoscopy Center, LLC is a Ambulatory Surgical Clinic/Center organization in Willow Park, TX (NPI 1487399168).
Provider details
- NPI number
- 1487399168
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Gi Alliance Surgery Center, PLLC
- Organization subpart
- Yes
- Authorized official
- Kim West, Ceo(817) 415-0343
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
4 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
311 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 Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 91 | $311 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 70 | $593 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 55 | $506 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 29 | $457 |
| Dilation of Esophagus43450 | 26 | $342 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High Risk |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-28
- Last updated
- 2023-12-15
- Certified
- 2022-12-02
Frequently asked questions
- What is Willow Park Endoscopy Center, LLC's NPI number?
- Willow Park Endoscopy Center, LLC's National Provider Identifier (NPI) is 1487399168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Park Endoscopy Center, LLC?
- Willow Park Endoscopy Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Willow Park Endoscopy Center, LLC located?
- Willow Park Endoscopy Center, LLC's practice location on file with NPPES is 130 Jimma Drive, Willow Park, TX 76087.
- What is Willow Park Endoscopy Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Willow Park Endoscopy Center, LLC is (817) 363-1410.
- Does Willow Park Endoscopy Center, LLC accept Medicare?
- Willow Park 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 Willow Park Endoscopy Center, LLC?
- The authorized official listed on Willow Park Endoscopy Center, LLC's NPPES record is Kim West, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Park Endoscopy Center, LLC's NPI active?
- Yes — Willow Park Endoscopy Center, LLC's NPI (1487399168) is active in the NPPES registry as of the last update on 2023-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.