Port Orange Endoscopy & Surgery Center LLC
NPI 1619979580 · Ambulatory Surgical Clinic/Center · Port Orange, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Port Orange Endoscopy & Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Port Orange, FL (NPI 1619979580).
Provider details
- NPI number
- 1619979580
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Francis Owens, Cfo(606) 594-0705
- License
- 1227 (FL)
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
20 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
479 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) |
|---|---|---|
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 131 | $417 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 105 | $414 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 61 | $489 |
| Destruction of Polyp Or Growth of Large Bowel Using a Flexible Endoscope45388 | 61 | $529 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 55 | $488 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Adventhealth Surgery Center Port Orange
Additional practice locations (1)
- 550 Memorial Cir Ste GOrmond Beach, FL 32174-5055Phone: (386) 271-7105Fax: (386) 231-6545
Registry dates
- Enumerated
- 2005-08-11
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Port Orange Endoscopy & Surgery Center LLC's NPI number?
- Port Orange Endoscopy & Surgery Center LLC's National Provider Identifier (NPI) is 1619979580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Orange Endoscopy & Surgery Center LLC?
- Port Orange Endoscopy & Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Port Orange Endoscopy & Surgery Center LLC located?
- Port Orange Endoscopy & Surgery Center LLC's practice location on file with NPPES is 1185 Dunlawton Ave Ste 100, Port Orange, FL 32127-2906.
- What is Port Orange Endoscopy & Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Port Orange Endoscopy & Surgery Center LLC is (386) 777-7151.
- Does Port Orange Endoscopy & Surgery Center LLC accept Medicare?
- Port Orange Endoscopy & 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 Port Orange Endoscopy & Surgery Center LLC?
- The authorized official listed on Port Orange Endoscopy & Surgery Center LLC's NPPES record is Francis Owens, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Orange Endoscopy & Surgery Center LLC's NPI active?
- Yes — Port Orange Endoscopy & Surgery Center LLC's NPI (1619979580) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.