1. Home
  2. Directory
  3. Florida
  4. Clearwater
  5. Clinic Center
  6. NPI Profile

ADVANCED SURGICAL CARE OF CLEARWATER LLC
NPI 1154956928
Clinic/Center - Ambulatory Surgical in Clearwater, FL

Active since March 11, 2020CLIA 10D2185163 · Waiver
93 N PARK PLACE BLVD STE 102, CLEARWATER, FL 33759(727) 742-3564 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, Sep 10, 2024, Apr 10, 2024 and 2 more (5 updates tracked since 2020).

About Advanced Surgical Care Of Clearwater Llc NPPES

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

ADVANCED SURGICAL CARE OF CLEARWATER LLC (NPI 1154956928) is a healthcare organization registered as an ambulatory surgical in Clearwater, Florida and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Collin Lemaistre, Officer / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1154956928
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANCED SURGICAL CARE OF CLEARWATER LLC
Location Address93 N PARK PLACE BLVD STE 102Clearwater, FL 33759-3917
Mailing Address93 N Park Place Blvd Ste 102Clearwater, FL 33759-3929 · (727) 742-3564
Phone(727) 742-3564
Organization SubpartNo
Authorized OfficialCollin LemaistreOfficer / Authorized Official · (214) 213-0723
Enumeration DateMarch 11, 2020
Last NPPES UpdateAugust 7, 20265 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1154956928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
93 N PARK PLACE BLVD STE 102, Clearwater, FL 33759
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Surgical Care Of Clearwater Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

61

Medicare enrollment records show 61 clinicians reassign Medicare billing to Advanced Surgical Care Of Clearwater LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner24
Pain Management12
Anesthesiology8
Interventional Pain Management7
Certified Registered Nurse Anesthetist (CRNA)3
Physical Medicine and Rehabilitation3
Neurology2
Orthopedic Surgery1
1 other specialty1

Nearest to this location (20)

See all 61
Amanda Browne, APRN FNP-C
Nurse Practitioner
NPI 1316445877
1988 GULF TO BAY BLVD
Clearwater, FL 33765
(727) 953-8090
✔ PECOS✔ Accepts Medicare2.1 mi
Edward Chen, MD
Anesthesiology
NPI 1184642902
430 MORTON PLANT ST SUITE 210
Clearwater, FL 33756
(727) 446-4506
✔ PECOS✔ Accepts Medicare4.9 mi
Demetrios Kaiafas, MD
Anesthesiology
NPI 1386676773
401 CORBETT ST STE 330
Belleair, FL 33756
(727) 446-4506
✔ PECOS✔ Accepts Medicare5.0 mi
Brian Mavretich, DO
Physical Medicine and Rehabilitation
NPI 1013444512
6333 54TH AVE N
St Petersburg, FL 33709
(727) 548-6100
✔ PECOS✔ Accepts Medicare10 mi
Matthew Elverman
Physical Medicine and Rehabilitation
NPI 1457880551
2727 W MLK BLVD STE 200
Tampa, FL 33607
(813) 819-1955
✔ PECOS✔ Accepts Medicare14 mi
Melissa Joseph, APRN
Nurse Practitioner
NPI 1326783192
2727 W MLK BLVD STE 520
Tampa, FL 33607
(813) 538-7600
✔ PECOS✔ Accepts Medicare14 mi
Edward Podgorski Iii, MD
Pain Management
NPI 1760832828
2727 W MLK BLVD STE 520
Tampa, FL 33607
(215) 779-9999
✔ PECOS✔ Accepts Medicare14 mi
Nomen Azeem, MD
Pain Management
NPI 1255594206
9360 BALM RIVERVIEW RD
Riverview, FL 33569
(813) 333-1353
✔ PECOS✔ Accepts Medicare25 mi
Daniel Hernandez, APRN
Nurse Practitioner
NPI 1457394512
2001 MANATEE AVE E STE 103
Bradenton, FL 34208
(941) 803-8395
✔ PECOS✔ Accepts Medicare34 mi
Robert Ycaza, M.D.
Interventional Pain Management
NPI 1437110236
2105 MANATEE AVE E
Bradenton, FL 34208
(941) 803-8395
✔ PECOS✔ Accepts Medicare34 mi
Patrick Ruddy, MD
Anesthesiology
NPI 1770520538
325 AVENUE 'B', NW
Winter Haven, FL 33881
(863) 291-4000
✔ PECOS61 mi
Samuella Ferrari, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265915573
600 E DIXIE AVE
Leesburg, FL 34748
(352) 323-5762
✔ Accepts Medicare78 mi
Issachar Devine, DO
Osteopathic Manipulative Medicine
NPI 1750886503
5540 E GRANT ST STE B
Orlando, FL 32822
(321) 400-9434
✔ PECOS✔ Accepts Medicare94 mi
Matthew Voelker
Physical Medicine and Rehabilitation
NPI 1215499942
4152 OKEECHOBEE RD STE A
Fort Pierce, FL 34947
(772) 275-6624
✔ PECOS✔ Accepts Medicare149 mi
Gregory Benedict, M.D.
Interventional Pain Management
NPI 1962816488
9401 SW DISCOVERY WAY STE 201
Port St Lucie, FL 34987
(772) 288-2400
✔ PECOS✔ Accepts Medicare149 mi
Blaze Emerson, DO
Orthopedic Surgery
NPI 1568987014
7710 S US HIGHWAY 1
Port St Lucie, FL 34952
(772) 335-5300
✔ PECOS✔ Accepts Medicare154 mi
Lauren Gold, APRN
Nurse Practitioner
NPI 1083369581
10244 S US HIGHWAY 1
Port St Lucie, FL 34952
(866) 228-7676
✔ PECOS✔ Accepts Medicare154 mi
Loel Warsch, MD
Anesthesiology
NPI 1477971802
10244 S US HIGHWAY 1
Port St Lucie, FL 34952
(866) 228-7676
✔ PECOS✔ Accepts Medicare154 mi
Rabih Kashouty, MD
Neurology
NPI 1487946539
1026 SE FEDERAL HIGHWAY
Stuart, FL 34994
(772) 210-2447
✔ PECOS✔ Accepts Medicare161 mi
Humberto Porrata, M.D.
Pain Management
NPI 1114920758
3319 S STATE ROAD 7 STE 102
Wellington, FL 33449
(561) 270-5432
✔ PECOS✔ Accepts Medicare179 mi
See all 61 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2185163

Advanced Surgical Care Of Clearwater LLC · Clearwater, FL
Active · expires May 31, 2028
CLIA Number10D2185163
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorEdward Chen
Laboratory Phone(727) 742-3564
Laboratory LocationAdvanced Surgical Care Of Clearwater LLC93 Park Place Blvd Suite 102, Clearwater, FL 33759
CLIA data matches this NPI record on: Name Phone
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.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
2,128 services14 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
29 services15 patients
Insertion or replacement of spinal neurostimulator generator or receiver 63685
The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
18 services18 patients
Destruction of nerve branches of knee using imaging guidance 64624
This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.
14 services11 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
14 services14 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 Advanced Surgical Care Of Clearwater LLC's NPI number?

The NPI number for Advanced Surgical Care Of Clearwater LLC is 1154956928. It was assigned to this organization in the NPPES registry on March 11, 2020.

Where is Advanced Surgical Care Of Clearwater LLC located?

Advanced Surgical Care Of Clearwater LLC is located at 93 N Park Place Blvd Ste 102, Clearwater, FL 33759. The listed phone number is (727) 742-3564.

What is Advanced Surgical Care Of Clearwater LLC's specialty?

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

Is Advanced Surgical Care Of Clearwater LLC enrolled in Medicare?

Yes. Advanced Surgical Care Of Clearwater LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Surgical Care Of Clearwater LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 61 clinicians in 9 Medicare specialties reassign their Medicare billing to Advanced Surgical Care Of Clearwater LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (24), Pain Management (12) and Anesthesiology (8). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Surgical Care Of Clearwater LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2185163) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Surgical Care Of Clearwater LLC accept?

Health plans from AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Advanced Surgical Care Of Clearwater 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 Advanced Surgical Care Of Clearwater LLC was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.