Pony Creek Annex, LLC
NPI 1538736459 · Ambulatory Surgical Clinic/Center · North Bend, OR
Provider details
- NPI number
- 1538736459
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jane Gilbert, Medical Director(541) 297-9551
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
5 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
872 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 | 780 | $1,156 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 33 | $1,177 |
| Removal of Membrane of Retina With Removal of Internal Limiting Membrane of Retina67042 | 32 | $2,033 |
| Removal of Eye Fluid (vitreous) Between Lens and Retina67036 | 27 | $2,033 |
Typical Medicare-allowed amounts for these services range $1,156–$2,033 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bay Eye Surgery Center
Registry dates
- Enumerated
- 2021-06-09
- Last updated
- 2021-06-09
- Certified
- 2021-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.