PHYSICIANS' SURGERY CENTER OF TIDEWATER, LLC
NPI 1699818237
Clinic/Center - Ambulatory Surgical in Virginia Beach, VA

Active since February 14, 2007CLIA 49D1067320 · Waiver
828 HEALTHY WAY STE 115, VIRGINIA BEACH, VA 23462(757) 495-8070(757) 495-8074 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2024, Aug 22, 2024, May 8, 2018 (3 updates tracked since 2018).

About Physicians' Surgery Center Of Tidewater, Llc NPPES

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

PHYSICIANS' SURGERY CENTER OF TIDEWATER, LLC (NPI 1699818237), doing business as Physicians' Surgery Center Of Tidewater, is a healthcare organization registered as an ambulatory surgical in Virginia Beach, Virginia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists William Scott Montgomery, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1699818237
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePHYSICIANS' SURGERY CENTER OF TIDEWATER, LLC
Location Address828 HEALTHY WAY STE 115Virginia Beach, VA 23462-7958
Mailing Address828 Healthy Way, Ste 115Virginia Beach, VA 23462-7958 · (757) 495-8070 · Fax (757) 495-8074
Fax(757) 495-8074
Organization SubpartNo
Authorized OfficialWilliam Scott MontgomeryAuthorized Official · (757) 495-8070
Enumeration DateFebruary 14, 2007
Last NPPES UpdateOctober 31, 20253 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1699818237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in VA · OH 708
828 HEALTHY WAY STE 115, Virginia Beach, VA 23462

Other Names 1

Doing Business AsPhysicians' Surgery Center Of Tidewater

Other Identifiers 1

OtherP00426243VA · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physicians' Surgery Center Of Tidewater, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20070614000294Non-DME Part B · Ambulatory Surgical CenterDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 49D1067320

Physicians' Surgery Center Of Tidewater · Virginia Beach, VA
Active · expires Apr 15, 2027
CLIA Number49D1067320
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorThomas W. Durick
Laboratory Phone(757) 495-8070
Laboratory LocationPhysicians' Surgery Center Of Tidewater828 Healthy Way, Suite 115, Virginia Beach, VA 23462
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 19

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.
514 services358 patients
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
432 services86 patients
Removal of eye fluid (vitreous) between lens and retina 67036
This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.
65 services58 patients
Removal of membrane of retina with removal of internal limiting membrane of retina 67042
This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.
51 services49 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.
45 services44 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.
41 services28 patients

Other Providers at the Same Location NPPES

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

Anesthesiology
828 HEALTHY WAY STE 115
VIRGINIA BEACH, VA 23462

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 Physicians' Surgery Center Of Tidewater, LLC's NPI number?

The NPI number for Physicians' Surgery Center Of Tidewater, LLC is 1699818237. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is doing business as Physicians' Surgery Center of Tidewater.

Where is Physicians' Surgery Center Of Tidewater, LLC located?

Physicians' Surgery Center Of Tidewater, LLC is located at 828 Healthy Way Ste 115, Virginia Beach, VA 23462. The listed phone number is (757) 495-8070.

What is Physicians' Surgery Center Of Tidewater, LLC's specialty?

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

Is Physicians' Surgery Center Of Tidewater, LLC enrolled in Medicare?

Yes. Physicians' Surgery Center Of Tidewater, LLC is registered in the Medicare PECOS enrollment system.

When is Physicians' Surgery Center Of Tidewater, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Ambulatory Surgical Center) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Physicians' Surgery Center Of Tidewater, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1067320) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Physicians' Surgery Center Of Tidewater, LLC accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 1 other insurer list Physicians' Surgery Center Of Tidewater, 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 Physicians' Surgery Center Of Tidewater, LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.