Affiliated Endoscopy Centers, LLC
NPI 1518995513 · Ambulatory Surgical Clinic/Center · Vadnais Heights, MN
Provider details
- NPI number
- 1518995513
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Ketover, President/Ceo(612) 871-1145
- License
- 4433340 (MN)
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
2,705 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 | 988 | $615 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 610 | $370 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 589 | $466 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 144 | $478 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 84 | $480 |
| Insertion of Guide Wire With Dilation of Esophagus Using a Flexible Endoscope43248 | 60 | $442 |
Practice location
Mailing address
Additional practice locations (1)
- 10150 Niagara Ln N # 200Maple Grove, MN 55369-7588Phone: (612) 871-1145Fax: (612) 870-5491
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.