VALLEY PLASTIC SURGERY LLC
NPI 1124396544
Clinic/Center - Ambulatory Surgical in Talent, OR

Q: What is Valley Plastic Surgery LLC's NPI number?

The NPI number for Valley Plastic Surgery LLC is 1124396544. It was assigned to this organization in the NPPES registry on December 13, 2011. The provider is also known as Valley Plastic Surgery.

Q: What is Valley Plastic Surgery LLC's specialty?

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

Active since December 13, 2011CLIA 38D2039482 · Waiver

280 S PACIFIC HWY, TALENT, OR 97540(541) 512-4771(541) 512-0880 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Jan 30, 2023, Jun 7, 2021 and 2 more (5 updates tracked since 2019).

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About Valley Plastic Surgery Llc NPPES

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

VALLEY PLASTIC SURGERY LLC (NPI 1124396544) is a healthcare organization registered as an ambulatory surgical in Talent, Oregon and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Alexis Allison Tracy, Physician, as its authorized official.

NPPES Registry Identity

NPI1124396544

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameVALLEY PLASTIC SURGERY LLC

Location Address280 S PACIFIC HWYTalent, OR 97540-6649

Mailing Address280 S Pacific HwyTalent, OR 97540-6649 · (541) 512-4771 · Fax (541) 512-0880

Phone(541) 512-4771

Fax(541) 512-0880

Organization SubpartNo

Authorized OfficialAlexis Allison TracyPhysician · (304) 520-6644

Enumeration DateDecember 13, 2011

Last NPPES UpdateMay 20, 20255 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1124396544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

Also ListedPlastic SurgeryTaxonomy 208200000X

280 S PACIFIC HWY, Talent, OR 97540

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Other Names 1

Other NameValley Plastic Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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 38D2039482

Valley Plastic Surgery, LLC · Talent, OR

Active · expires Apr 9, 2028

CLIA Number38D2039482

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 10, 2026

Certificate Expiration DateApril 9, 2028

Laboratory DirectorAlexis A. Tracy

Laboratory Phone(541) 500-4199

Laboratory LocationValley Plastic Surgery, LLC280 S Pacific Hwy, Talent, OR 97540

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 5

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.

Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm 14021

This procedure involves repairing a wound on your scalp, arm, or leg by moving skin from another part of your body. The skin transferred will cover an area between 10.1 to 30.0 square cm. This helps promote healing and reduce scarring.

71 services59 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642

This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.

21 services19 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

19 services18 patients

Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less 15240

A full thickness skin graft involves transplanting skin from one area of the body to another. In this case, to the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The procedure helps heal areas affected by injury or disease, covering an area of 20.0 sq cm or less.

16 services16 patients

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm 11623

This procedure involves removing a cancerous growth on the scalp, neck, hands, or feet that measures between 2.1 and 3.0 cm. The process includes numbing the area, excising the growth, and then stitching the wound for healing. The aim is to eliminate cancer cells and prevent spread.

12 services12 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOTARE LLC

Clinic/Center (Medical Specialty)