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COMMUNITY SURGERY & LASER CENTER, LLC
NPI 1205859550
Clinic/Center - Ambulatory Surgical in Warren, PA

Active since July 26, 2006
2 FARM COLONY DRIVE, WARREN, PA 16365(814) 726-2303(404) 305-3199 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2024, Oct 21, 2020 (2 updates tracked since 2020).

About Community Surgery & Laser Center, Llc NPPES

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

COMMUNITY SURGERY & LASER CENTER, LLC (NPI 1205859550) is a healthcare organization registered as an ambulatory surgical in Warren, Pennsylvania and active in the NPI registry since July 2006. The organization lists Candice B Davis, Chief Revenue Cycle Officer, as its authorized official.

NPPES Registry Identity

NPI1205859550
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOMMUNITY SURGERY & LASER CENTER, LLC
Location Address2 FARM COLONY DRIVEWarren, PA 16365-5206
Mailing Address2 Farm Colony DriveWarren, PA 16365-5206 · (814) 726-2303 · Fax (814) 726-7459
Phone(814) 726-2303
Fax(404) 305-3199
Organization SubpartNo
Authorized OfficialCandice B DavisChief Revenue Cycle Officer · (916) 990-7590
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1205859550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Licenses✔ Licensed in PA · 20821501✔ Licensed in PA · MD052930L
2 FARM COLONY DRIVE, Warren, PA 16365
Open in Google Maps ↗

Other Identifiers 1

Other154-823-4255PA · Npi-dr. Gordon Wuebbolt

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.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)

Community Surgery & Laser Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Community Surgery & Laser Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Beau Froebel, MD
Ophthalmology
NPI 1780115493
2 FARM COLONY DR
Warren, PA 16365
(716) 484-6700
✔ PECOS✔ Accepts MedicareSame address
John Strong, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1083038319
2 FARM COLONY DR
Warren, PA 16365
(716) 484-6700
Same address
Gordon Wuebbolt, M.D.
Ophthalmology
NPI 1548234255
2 FARM COLONY DRIVE
Warren, PA 16365
(814) 726-2303
✔ PECOS✔ Accepts MedicareSame address
Kathy Simanowski, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841638038
2 W CRESCENT PARK
Warren, PA 16365
(814) 723-3300
✔ Accepts Medicare1.2 mi
Robin Copley, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902870504
4372 ROUTE 6
Kane, PA 16735
(814) 837-8585
✔ Accepts Medicare22 mi
Aanal Vyas, MD
Ophthalmology
NPI 1881348274
COMMUNITY EYE CARE SPECIALISTS 2A PARK WAY
Seneca, PA 16346
(814) 677-6404
✔ PECOS✔ Accepts Medicare47 mi
Michael Punk, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1235588641
1000 DUTCH RIDGE RD
Beaver, PA 15009
(724) 728-7000
✔ Accepts Medicare98 mi
Hannah Punk, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841641032
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2559
✔ Accepts Medicare1,875 mi

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

Areas of Expertise CMS Part B claims 9

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.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
956 services137 patients
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.
243 services137 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.
176 services119 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.
118 services68 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
46 services30 patients
Removal of growth of eyelid 67840
The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.
31 services18 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 Community Surgery & Laser Center, LLC's NPI number?

The NPI number for Community Surgery & Laser Center, LLC is 1205859550. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Community Surgery & Laser Center, LLC located?

Community Surgery & Laser Center, LLC is located at 2 Farm Colony Drive, Warren, PA 16365. The listed phone number is (814) 726-2303.

What is Community Surgery & Laser Center, LLC's specialty?

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

Is Community Surgery & Laser Center, LLC enrolled in Medicare?

Yes. Community Surgery & Laser Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Surgery & Laser Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Community Surgery & Laser Center, 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 Certified Registered Nurse Anesthetist (CRNA) (5) and Ophthalmology (3). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Surgery & Laser Center, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Community Surgery & Laser Center, 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 Community Surgery & Laser Center, LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.