Civista Clinical Services, LLC
NPI 1689212151 · Endoscopy Clinic/Center · La Plata, MD
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1689212151
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Civista Clinical Services, LLC
- Organization subpart
- Yes
- Authorized official
- Albert Zanger, Chief Financial Officer(301) 609-5163
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
6 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
603 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 | 166 | $325 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 138 | $492 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 121 | $605 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 87 | $470 |
| Insertion of Guide Wire With Dilation of Esophagus Using a Flexible Endoscope43248 | 29 | $404 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Um Charles Regional Endoscopy Center
- Doing business as
- Um Charles Regional Endoscopy Center
Registry dates
- Enumerated
- 2019-12-16
- Last updated
- 2020-03-02
- Certified
- 2020-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.