Riverside Ambulatory Surgery Center, LLC
NPI 1851407373 · Ambulatory Surgical Clinic/Center · Bourbonnais, IL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riverside Ambulatory Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Bourbonnais, IL (NPI 1851407373).
Provider details
- NPI number
- 1851407373
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teresa Bockover, Clinical Director(815) 802-3170
- License
- 7003049 (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
19 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
4,187 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) |
|---|---|---|
| Phenylephrine 10.16 Mg/Ml and Ketorolac 2.88 Mg/Ml Ophthalmic Irrigation Solution, 1 MlJ1097 | 3,230 | $96 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 828 | $1,095 |
| Release of Tendon of Palm Or Finger26440 | 42 | $542 |
| Incision to Improve Eye Fluid Flow65820 | 24 | $1,926 |
| Creation of Flap Graft to Head And/Or Neck15733 | 21 | $1,753 |
| Incision of Tendon Covering of Finger26055 | 17 | $704 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Riverside Ambulatory Surgery Center, LLC's NPI number?
- Riverside Ambulatory Surgery Center, LLC's National Provider Identifier (NPI) is 1851407373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside Ambulatory Surgery Center, LLC?
- Riverside Ambulatory Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Riverside Ambulatory Surgery Center, LLC located?
- Riverside Ambulatory Surgery Center, LLC's practice location on file with NPPES is 300 Riverside Dr Ste 1100, Bourbonnais, IL 60914-4997.
- What is Riverside Ambulatory Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Riverside Ambulatory Surgery Center, LLC is (815) 802-3170.
- Does Riverside Ambulatory Surgery Center, LLC accept Medicare?
- Riverside Ambulatory 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 Riverside Ambulatory Surgery Center, LLC?
- The authorized official listed on Riverside Ambulatory Surgery Center, LLC's NPPES record is Teresa Bockover, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside Ambulatory Surgery Center, LLC's NPI active?
- Yes — Riverside Ambulatory Surgery Center, LLC's NPI (1851407373) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.