Trails Edge Surgery Center, LLC
NPI 1639650161 · Ambulatory Surgical Clinic/Center · Bonita Springs, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Trails Edge Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Bonita Springs, FL (NPI 1639650161).
Provider details
- NPI number
- 1639650161
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacky Lucia, Chief Administrative Officer(239) 963-7365
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
7 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
1,096 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) |
|---|---|---|
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 194 | $286 |
| Ultrasound Scan of Pelvic Region Through Rectum76872 | 122 | $54 |
| Insertion of Sacral Nerve Neurostimulator Electrode Array64561 | 115 | $4,759 |
| Imaging of Urinary Tract Following Injection of a Contrast Agent74420 | 71 | $188 |
| Biopsy of Prostate Gland55700 | 63 | $879 |
| Insertion Or Replacement of Peripheral, Sacral, Or Gastric Neurostimulator Generator Or Receiver64590 | 50 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-23
- Last updated
- 2018-08-23
Frequently asked questions
- What is Trails Edge Surgery Center, LLC's NPI number?
- Trails Edge Surgery Center, LLC's National Provider Identifier (NPI) is 1639650161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Trails Edge Surgery Center, LLC?
- Trails Edge Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Trails Edge Surgery Center, LLC located?
- Trails Edge Surgery Center, LLC's practice location on file with NPPES is 28930 Trails Edge Blvd, Bonita Springs, FL 34134-7582.
- What is Trails Edge Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Trails Edge Surgery Center, LLC is (239) 333-3200.
- Does Trails Edge Surgery Center, LLC accept Medicare?
- Trails Edge 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 Trails Edge Surgery Center, LLC?
- The authorized official listed on Trails Edge Surgery Center, LLC's NPPES record is Jacky Lucia, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Trails Edge Surgery Center, LLC's NPI active?
- Yes — Trails Edge Surgery Center, LLC's NPI (1639650161) is active in the NPPES registry as of the last update on 2018-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.