Pcs Procedure Suite LLC
NPI 1659029411 · Ambulatory Surgical Clinic/Center · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pcs Procedure Suite LLC is a Ambulatory Surgical Clinic/Center organization in Pocatello, ID (NPI 1659029411).
Provider details
- NPI number
- 1659029411
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Mansfield, Owner(208) 234-2300
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
4 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
51 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 Not Meeting Criteria for High RiskG0121 | 21 | $452 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 19 | $452 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 11 | $408 |
Typical Medicare-allowed amounts for these services range $408–$452 (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
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Frequently asked questions
- What is Pcs Procedure Suite LLC's NPI number?
- Pcs Procedure Suite LLC's National Provider Identifier (NPI) is 1659029411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pcs Procedure Suite LLC?
- Pcs Procedure Suite LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pcs Procedure Suite LLC located?
- Pcs Procedure Suite LLC's practice location on file with NPPES is 110 Vista Dr, Pocatello, ID 83201-5824.
- What is Pcs Procedure Suite LLC's phone number?
- The practice phone number listed in the NPPES registry for Pcs Procedure Suite LLC is (208) 234-2300.
- Does Pcs Procedure Suite LLC accept Medicare?
- Pcs Procedure Suite 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 Pcs Procedure Suite LLC?
- The authorized official listed on Pcs Procedure Suite LLC's NPPES record is Mark Mansfield, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pcs Procedure Suite LLC's NPI active?
- Yes — Pcs Procedure Suite LLC's NPI (1659029411) is active in the NPPES registry as of the last update on 2023-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.