BSM SURGERY CENTER LLC
NPI 1689800666
Clinic/Center - Ambulatory Surgical in Corvallis, OR

Q: What is Bsm Surgery Center LLC's NPI number?

The NPI number for Bsm Surgery Center LLC is 1689800666. It was assigned to this organization in the NPPES registry on June 4, 2009.

Q: What is Bsm Surgery Center LLC's specialty?

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

Active since June 04, 2009CLIA 38D1101174 · Waiver

1128 NE SECOND STREET, SUITE 104, CORVALLIS, OR 97330(541) 207-3334(541) 207-3231 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bsm Surgery Center Llc NPPES

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

BSM SURGERY CENTER LLC (NPI 1689800666) is a healthcare organization registered as an ambulatory surgical in Corvallis, Oregon and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Jennifer Dawn Kolb, Manager, as its authorized official.

NPPES Registry Identity

NPI1689800666

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameBSM SURGERY CENTER LLC

Location Address1128 NE SECOND STREET, SUITE 104Corvallis, OR 97330-6293

Mailing Address1128 Ne Second Street, Suite 104Corvallis, OR 97330-6293 · (541) 207-3334 · Fax (541) 207-3231

Phone(541) 207-3334

Fax(541) 207-3231

Organization SubpartNo

Authorized OfficialJennifer Dawn KolbManager · (541) 268-4641

Enumeration DateJune 4, 2009

Last NPPES UpdateSeptember 18, 2015

✔ NPI 1689800666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1128 NE SECOND STREET, Corvallis, OR 97330

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Other Identifiers 4

MedicaidPENDINGOR

Medicaid500639211OR

Medicare OSCAR/certification38C0001096OR

Medicare PINR157581OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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 38D1101174

Bsm Surgery Center LLC · Corvallis, OR

Active · expires Jun 21, 2027

CLIA Number38D1101174

Laboratory TypeAmbulance

Certificate Effective DateJune 22, 2025

Certificate Expiration DateJune 21, 2027

Laboratory DirectorRonald Wobig MD

Laboratory Phone(541) 207-3334

Laboratory LocationBsm Surgery Center LLC1128 NE 2nd St Suite 104, Corvallis, OR 97330

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 6

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.

552 services325 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

44 services28 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.

29 services16 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.

23 services13 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.

23 services18 patients

Removal or shaving of knee joint cartilage using an endoscope 29877

This procedure involves using a special camera, called an endoscope, to view the inside of your knee joint. Any damaged or excess cartilage is then carefully removed or trimmed. This can help reduce pain and improve joint function.

18 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 Bsm Surgery Center LLC's NPI number?

The NPI number for Bsm Surgery Center LLC is 1689800666. It was assigned to this organization in the NPPES registry on June 4, 2009.

Where is Bsm Surgery Center LLC located?

Bsm Surgery Center LLC is located at 1128 NE Second Street Suite 104, Corvallis, OR 97330. The listed phone number is (541) 207-3334.

What is Bsm Surgery Center LLC's specialty?

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

Does Bsm Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1101174) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bsm Surgery Center LLC accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Bsm Surgery 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 Bsm Surgery Center LLC was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.