SURGERY CENTER 121 LLC
NPI 1093295545
Clinic/Center - Ambulatory Surgical in Plano, TX

Active since August 15, 2018CLIA 45D2155351 · Waiver
9955 GILLESPIE DRIVE SUITE 200, PLANO, TX 75025(972) 403-1110(972) 403-1153 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2023, Aug 15, 2018 (2 updates tracked since 2018).

About Surgery Center 121 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGERY CENTER 121 LLC (NPI 1093295545) is a healthcare organization registered as an ambulatory surgical in Plano, Texas and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Susan Thomas, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093295545
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER 121 LLC
Location Address9955 GILLESPIE DRIVE SUITE 200Plano, TX 75025
Mailing Address9955 Gillespie Drive Suite 200Plano, TX 75025 · (972) 403-1110
Fax(972) 403-1153
Organization SubpartNo
Authorized OfficialSusan ThomasAdministrator · (469) 351-7079
Enumeration DateAugust 15, 2018
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
NPI 1093295545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9955 GILLESPIE DRIVE SUITE 200, Plano, TX 75025

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2155351

Surgery Center 121 LLC · Plano, TX
Active · expires Sep 26, 2026
CLIA Number45D2155351
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorDain B. Brooks
Laboratory Phone(469) 606-0060
Laboratory LocationSurgery Center 121 LLC9955 Gillespie Drive Suite 200, Plano, TX 75025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,617 services874 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
598 services366 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
111 services64 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
61 services47 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
50 services30 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
34 services22 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgery Center 121 LLC's NPI number?

The NPI number for Surgery Center 121 LLC is 1093295545. It was assigned to this organization in the NPPES registry on August 15, 2018.

Where is Surgery Center 121 LLC located?

Surgery Center 121 LLC is located at 9955 Gillespie Drive Suite 200, Plano, TX 75025. The listed phone number is (972) 403-1110.

What is Surgery Center 121 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Surgery Center 121 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2155351) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center 121 LLC accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Surgery Center 121 LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surgery Center 121 LLC was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.