Southern Lakes Endoscopy LLC
NPI 1851887715 · Ambulatory Surgical Clinic/Center · Mukwonago, WI
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Lakes Endoscopy LLC is a Ambulatory Surgical Clinic/Center organization in Mukwonago, WI (NPI 1851887715).
Provider details
- NPI number
- 1851887715
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Burns, Director Revenue Cycle Management(262) 970-7825
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
383 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 Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 139 | $581 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 79 | $331 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 78 | $459 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 46 | $456 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 23 | $456 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-07-03
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Frequently asked questions
- What is Southern Lakes Endoscopy LLC's NPI number?
- Southern Lakes Endoscopy LLC's National Provider Identifier (NPI) is 1851887715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Lakes Endoscopy LLC?
- Southern Lakes Endoscopy LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Lakes Endoscopy LLC located?
- Southern Lakes Endoscopy LLC's practice location on file with NPPES is 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475.
- What is Southern Lakes Endoscopy LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Lakes Endoscopy LLC is (414) 454-0600.
- Does Southern Lakes Endoscopy LLC accept Medicare?
- Southern Lakes Endoscopy 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 Southern Lakes Endoscopy LLC?
- The authorized official listed on Southern Lakes Endoscopy LLC's NPPES record is Amy Burns, Director Revenue Cycle Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Lakes Endoscopy LLC's NPI active?
- Yes — Southern Lakes Endoscopy LLC's NPI (1851887715) is active in the NPPES registry as of the last update on 2026-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.