Endosurg Outpatient Center LLC
NPI 1639105455 · Ambulatory Surgical Clinic/Center · Lady Lake, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Endosurg Outpatient Center LLC is a Ambulatory Surgical Clinic/Center organization in Lady Lake, FL (NPI 1639105455).
Provider details
- NPI number
- 1639105455
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lily Tran, Doctor(352) 323-8868
- License
- 1115 (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
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
972 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 | 395 | $331 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 189 | $560 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 178 | $433 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 137 | $433 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 50 | $561 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2014-01-09
Frequently asked questions
- What is Endosurg Outpatient Center LLC's NPI number?
- Endosurg Outpatient Center LLC's National Provider Identifier (NPI) is 1639105455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Endosurg Outpatient Center LLC?
- Endosurg Outpatient Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Endosurg Outpatient Center LLC located?
- Endosurg Outpatient Center LLC's practice location on file with NPPES is 13838 N US Highway 441, Lady Lake, FL 32159-8904.
- What is Endosurg Outpatient Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Endosurg Outpatient Center LLC is (352) 753-1612.
- Does Endosurg Outpatient Center LLC accept Medicare?
- Endosurg Outpatient 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 Endosurg Outpatient Center LLC?
- The authorized official listed on Endosurg Outpatient Center LLC's NPPES record is Lily Tran, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Endosurg Outpatient Center LLC's NPI active?
- Yes — Endosurg Outpatient Center LLC's NPI (1639105455) is active in the NPPES registry as of the last update on 2014-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.