Old Town Endoscopy Center LLC
NPI 1821067554 · Ambulatory Surgical Clinic/Center · Dallas, TX
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Old Town Endoscopy Center LLC is a Ambulatory Surgical Clinic/Center organization in Dallas, TX (NPI 1821067554).
Provider details
- NPI number
- 1821067554
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Snodgrass, President(615) 665-1283
- License
- 000402 (TX)
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
3,258 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 Large Bowel Using a Flexible Endoscope45380 | 921 | $491 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 810 | $296 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 635 | $577 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 319 | $447 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 188 | $449 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Digestive Health Center of Dallas
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2022-11-23
- Certified
- 2022-11-23
Frequently asked questions
- What is Old Town Endoscopy Center LLC's NPI number?
- Old Town Endoscopy Center LLC's National Provider Identifier (NPI) is 1821067554, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Town Endoscopy Center LLC?
- Old Town Endoscopy Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Old Town Endoscopy Center LLC located?
- Old Town Endoscopy Center LLC's practice location on file with NPPES is 9500 N Central Expy Ste 200, Dallas, TX 75231-5128.
- What is Old Town Endoscopy Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Old Town Endoscopy Center LLC is (214) 739-9544.
- Does Old Town Endoscopy Center LLC accept Medicare?
- Old Town 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 Old Town Endoscopy Center LLC?
- The authorized official listed on Old Town Endoscopy Center LLC's NPPES record is Jeffrey Snodgrass, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Town Endoscopy Center LLC's NPI active?
- Yes — Old Town Endoscopy Center LLC's NPI (1821067554) is active in the NPPES registry as of the last update on 2022-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.