Eastland Medical Plaza Surgicenter, LLC
NPI 1699751289 · Ambulatory Surgical Clinic/Center · Bloomington, IL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastland Medical Plaza Surgicenter, LLC is a Ambulatory Surgical Clinic/Center organization in Bloomington, IL (NPI 1699751289).
Provider details
- NPI number
- 1699751289
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jackie Frye, Business Office Manager(309) 663-1997
- License
- 7002413 (IL)
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
1,862 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) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 831 | $1,077 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 216 | $554 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 187 | $329 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 151 | $424 |
| Removal of Recurring Cataract in Lens Capsule Using a Laser66821 | 82 | $276 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High Risk |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-16
- Last updated
- 2010-01-06
Frequently asked questions
- What is Eastland Medical Plaza Surgicenter, LLC's NPI number?
- Eastland Medical Plaza Surgicenter, LLC's National Provider Identifier (NPI) is 1699751289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastland Medical Plaza Surgicenter, LLC?
- Eastland Medical Plaza Surgicenter, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eastland Medical Plaza Surgicenter, LLC located?
- Eastland Medical Plaza Surgicenter, LLC's practice location on file with NPPES is 1505 Eastland Dr, Bloomington, IL 61701-3534.
- What is Eastland Medical Plaza Surgicenter, LLC's phone number?
- The practice phone number listed in the NPPES registry for Eastland Medical Plaza Surgicenter, LLC is (309) 663-1997.
- Does Eastland Medical Plaza Surgicenter, LLC accept Medicare?
- Eastland Medical Plaza Surgicenter, 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 Eastland Medical Plaza Surgicenter, LLC?
- The authorized official listed on Eastland Medical Plaza Surgicenter, LLC's NPPES record is Jackie Frye, Business Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastland Medical Plaza Surgicenter, LLC's NPI active?
- Yes — Eastland Medical Plaza Surgicenter, LLC's NPI (1699751289) is active in the NPPES registry as of the last update on 2010-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.