Upstate Surgery Center, LLC
NPI 1619998523 · Ambulatory Surgical Clinic/Center · Greenville, SC
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Upstate Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Greenville, SC (NPI 1619998523).
Provider details
- NPI number
- 1619998523
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Devin Larsen, Ceo(631) 445-0593
- License
- ASF-050 (SC)
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
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,383 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 | 1,066 | $1,079 |
| Repair of Tendon of Upper Eyelid67904 | 84 | $693 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 74 | $1,086 |
| Removal of Excessive Skin and Fat of Upper Eyelid15823 | 58 | $635 |
| Destruction of Lens Tissue Using Laser66710 | 33 | $855 |
| Extracapsular Removal of Cataract With Insertion of Artificial Lens and Insertion of Drainage Device in Front Chamber of Eye66991 | 23 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-23
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Upstate Surgery Center, LLC's NPI number?
- Upstate Surgery Center, LLC's National Provider Identifier (NPI) is 1619998523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upstate Surgery Center, LLC?
- Upstate Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Upstate Surgery Center, LLC located?
- Upstate Surgery Center, LLC's practice location on file with NPPES is 10 Enterprise Blvd Ste 109, Greenville, SC 29615-3534.
- What is Upstate Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Upstate Surgery Center, LLC is (864) 813-7226.
- Does Upstate Surgery Center, LLC accept Medicare?
- Upstate 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 Upstate Surgery Center, LLC?
- The authorized official listed on Upstate Surgery Center, LLC's NPPES record is Devin Larsen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upstate Surgery Center, LLC's NPI active?
- Yes — Upstate Surgery Center, LLC's NPI (1619998523) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.