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CASCADE OUTPATIENT SPINE CENTER
NPI 1275938102
Clinic/Center - Ambulatory Surgical in Bellingham, WA

Active since November 04, 2014CLIA Certified · 2 labs
710 BIRCHWOOD AVE, SUITE 101, BELLINGHAM, WA 98225(360) 676-0922 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cascade Outpatient Spine Center NPPES

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

CASCADE OUTPATIENT SPINE CENTER (NPI 1275938102) is a healthcare organization registered as an ambulatory surgical in Bellingham, Washington and active in the NPI registry since November 2014. The organization holds 2 active CLIA laboratory certificates and lists Tung Ha, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1275938102
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS
Location Address710 BIRCHWOOD AVE, SUITE 101Bellingham, WA 98225-1720
Mailing Address710 Birchwood Ave Ste 103Bellingham, WA 98225-1720 · (360) 527-0404 · Fax (360) 527-0407
Phone(360) 676-0922
Organization SubpartYesParent: Fourth Corner Neurosurgical Associates
Authorized OfficialTung HaMedical Director · (360) 676-0922
Enumeration DateNovember 4, 2014
Last NPPES UpdateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1275938102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
710 BIRCHWOOD AVE, Bellingham, WA 98225
Open in Google Maps ↗

Other Names 1

Doing Business AsCascade Outpatient Spine Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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)

Cascade Outpatient Spine Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Cascade Outpatient Spine Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Ramana Gorrepati
Neurosurgery
NPI 1295154375
710 BIRCHWOOD AVE STE 101
Bellingham, WA 98225
(360) 676-0922
✔ PECOS✔ Accepts MedicareSame address
Tung Ha, DO
Neurosurgery
NPI 1902020738
710 BIRCHWOOD AVE STE 101
Bellingham, WA 98225
(360) 676-0922
✔ PECOS✔ Accepts MedicareSame address
Christian Bohan, MD
Neurosurgery
NPI 1174086615
710 BIRCHWOOD AVE STE 101
Bellingham, WA 98225
(360) 676-0922
✔ PECOS✔ Accepts MedicareSame address
Carlton Mcqueen, M.D.
Interventional Pain Management
NPI 1659323657
710 BIRCHWOOD AVE STE 101
Bellingham, WA 98225
(360) 676-0922
✔ PECOS✔ Accepts MedicareSame address

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 2

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 50D2085848

Fourth Corner Neurosurgical Associates · Bellingham, WA
Active · expires Apr 4, 2028
CLIA Number50D2085848
Laboratory TypeClinic
Certificate Effective DateOctober 23, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCarlton K. Mcqueen
Laboratory Phone(360) 676-0922
Laboratory LocationFourth Corner Neurosurgical Associates710 Birchwood Ave Ste 101, Bellingham, WA 98225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2110897

Cascade Outpatient Spine Center · Bellingham, WA
Active · expires Apr 4, 2028
CLIA Number50D2110897
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 25, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTung Ha
Laboratory Phone(360) 527-0404
Laboratory LocationCascade Outpatient Spine Center710 Birchwood Ave Ste 103, Bellingham, WA 98225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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 of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
188 services133 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
86 services48 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
78 services71 patients
Self soft tissue graft 15769
A self soft tissue graft is a dental procedure where tissue from your own mouth is used to treat areas with gum recession. This can protect roots, reduce sensitivity, and improve gum health. It's a common, safe procedure.
76 services76 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
66 services66 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.
65 services21 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 Fourth Corner Neurosurgical Associates Inc Ps's NPI number?

The NPI number for Fourth Corner Neurosurgical Associates Inc Ps is 1275938102. It was assigned to this organization in the NPPES registry on November 4, 2014. The provider is doing business as Cascade Outpatient Spine Center.

Where is Fourth Corner Neurosurgical Associates Inc Ps located?

Fourth Corner Neurosurgical Associates Inc Ps is located at 710 Birchwood Ave Suite 101, Bellingham, WA 98225. The listed phone number is (360) 676-0922.

What is Fourth Corner Neurosurgical Associates Inc Ps's specialty?

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

Is Fourth Corner Neurosurgical Associates Inc Ps enrolled in Medicare?

Yes. Fourth Corner Neurosurgical Associates Inc Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fourth Corner Neurosurgical Associates Inc Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Fourth Corner Neurosurgical Associates Inc Ps. 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 Neurosurgery (3) and Interventional Pain Management (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fourth Corner Neurosurgical Associates Inc Ps hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Fourth Corner Neurosurgical Associates Inc Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Fourth Corner Neurosurgical Associates Inc Ps 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 Fourth Corner Neurosurgical Associates Inc Ps was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.