Colonial Outpatient Surgery Center, LLC
NPI 1760963292 · Ambulatory Surgical Clinic/Center · Fort Myers, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Colonial Outpatient Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Fort Myers, FL (NPI 1760963292).
Provider details
- NPI number
- 1760963292
- 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
31,802 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, Bupivacaine Liposome, 1 MgC9290 | 22,610 | $1 |
| Instillation, Bupivacaine and Meloxicam, 1 Mg/0.03 MgC9088 | 8,600 | $1 |
| Insertion of Sacral Nerve Neurostimulator Electrode Array64561 | 104 | $4,759 |
| Injection of Implant Material Beneath Lining of Bladder And/Or Urethra Using an Endoscope51715 | 74 | $1,740 |
| Repair of Groin Hernia (5 Years Or Older)49505 | 57 | $1,224 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 46 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-23
- Last updated
- 2018-08-23
Frequently asked questions
- What is Colonial Outpatient Surgery Center, LLC's NPI number?
- Colonial Outpatient Surgery Center, LLC's National Provider Identifier (NPI) is 1760963292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colonial Outpatient Surgery Center, LLC?
- Colonial Outpatient Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Colonial Outpatient Surgery Center, LLC located?
- Colonial Outpatient Surgery Center, LLC's practice location on file with NPPES is 4571 Colonial Blvd, Fort Myers, FL 33966-1156.
- What is Colonial Outpatient Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Colonial Outpatient Surgery Center, LLC is (239) 333-2050.
- Does Colonial Outpatient Surgery Center, LLC accept Medicare?
- Colonial Outpatient 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 Colonial Outpatient Surgery Center, LLC?
- The authorized official listed on Colonial Outpatient 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 Colonial Outpatient Surgery Center, LLC's NPI active?
- Yes — Colonial Outpatient Surgery Center, LLC's NPI (1760963292) 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.