Premier Endoscopy Center, LLC
NPI 1659683662 · Ambulatory Surgical Clinic/Center · Gilbert, AZ
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Endoscopy Center, LLC is a Ambulatory Surgical Clinic/Center organization in Gilbert, AZ (NPI 1659683662).
Provider details
- NPI number
- 1659683662
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jarrett Leathem, DO, Owner(480) 573-0130
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
15 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
1,438 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) |
|---|---|---|
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 445 | $360 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 259 | $337 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 163 | $847 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 138 | $344 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance62321 | 83 | $343 |
| Destruction of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint |
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-07
- Last updated
- 2022-06-28
- Certified
- 2022-06-28
Frequently asked questions
- What is Premier Endoscopy Center, LLC's NPI number?
- Premier Endoscopy Center, LLC's National Provider Identifier (NPI) is 1659683662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Endoscopy Center, LLC?
- Premier Endoscopy Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Premier Endoscopy Center, LLC located?
- Premier Endoscopy Center, LLC's practice location on file with NPPES is 2563 S Val Vista Dr Ste 101a, Gilbert, AZ 85295-6231.
- What is Premier Endoscopy Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Endoscopy Center, LLC is (480) 573-0213.
- Does Premier Endoscopy Center, LLC accept Medicare?
- Premier Endoscopy 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 Premier Endoscopy Center, LLC?
- The authorized official listed on Premier Endoscopy Center, LLC's NPPES record is Jarrett Leathem, DO, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Endoscopy Center, LLC's NPI active?
- Yes — Premier Endoscopy Center, LLC's NPI (1659683662) is active in the NPPES registry as of the last update on 2022-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.