PACIFIC SURGERY CENTER, LLC
NPI 1720334097
Clinic/Center - Ambulatory Surgical in Omaha, NE
NPI Status: Active since July 24, 2012
Contact Information
10707 PACIFIC ST STE 100
OMAHA, NE
ZIP 68114
Phone: (402) 933-1844
Fax: (402) 932-5891
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 28D2051578
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 12-19-2026
About PACIFIC SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Pacific Surgery Center, Llc, a provider established in Omaha, Nebraska operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1720334097 assigned on July 2012. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Euclid Desouza (Board Member)
- NPI
- 1720334097
- Provider Name
- PACIFIC SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 10707 PACIFIC ST STE 100 OMAHA, NE 68114
- Location Phone
- (402) 933-1844
- Location Fax
- (402) 932-5891
- Mailing Address
- 6128 S LYNCREST AVE SIOUX FALLS, SD 57108
- Mailing Phone
- (855) 334-2955
- Mailing Fax
- (402) 932-5891
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-24-2012
- Last Update Date
- 08-19-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Bronze 6000 Blueprint Health w/ Adult Vision - EPO
- HeartlandBlue Bronze 6000 Premier Select BlueChoice w/ Adult Vision - EPO
- HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
- HeartlandBlue Bronze Standard 7500 Blueprint Health - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 Blueprint Health - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold $0 PCP Visit 1500 Premier Select BlueChoice - EPO
- HeartlandBlue Gold 1000 Blueprint Health w/ Adult Vision - EPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
- HeartlandBlue Gold 1000 Premier Select BlueChoice w/ Adult Vision - EPO
- Bronze Classic - EPO
- Bronze Classic | with Bryan Health - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | with Bryan Health - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
- Bronze Simple Diabetes - EPO
- Bronze Simple Diabetes | with Bryan Health - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | with Bryan Health - EPO
- Gold Elite - EPO
- Gold Elite | with Bryan Health - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | with Bryan Health - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | with Bryan Health - EPO
- Silver Simple PCP Saver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| NA2347 | OTHER (01) | NE | PTAN |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Biopsy of prostate gland
Creation of sling around urethra in female to control leakage
Crushing of stone of ureter with insertion of stent using an endoscope
Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants
Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm
Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope
Diagnostic exam of bladder and urethra using an endoscope
Dilation of urethra using an endoscope
Exam with injections of chemical for destruction of bladder using an endoscope
Imaging guidance for procedure, 60 minutes or less
Injection of implant material beneath lining of bladder and/or urethra using an endoscope
Injection, onabotulinumtoxina, 1 unit
Insertion of peripheral or gastric neurostimulator generator
Insertion of sacral nerve neurostimulator electrode
Insertion of sacral nerve neurostimulator electrode array
Insertion of stent in ureter using an endoscope
Plastic repair of vagina and tissue separating vagina, rectum, and bladder
Removal or revision of incontinence sling
Repair of herniated rectum into vaginal wall
Revision of peripheral or gastric neurostimulator generator
Simple change of bladder tube
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
Suture closure of vagina and vaginal opening
Ultrasound scan of pelvic region through rectum
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
This service was performed 147 times for 145 patientsThis procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.
This service was performed 21 times for 21 patientsThis procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
This service was performed 21 times for 19 patientsCystourethroscopy with insertion of transprostatic implant is a procedure where tiny implants are placed in the prostate area via a thin tube inserted through the urinary passage. This helps to manage urinary flow issues. Four or more implants may be used.
This service was performed 31 times for 31 patientsThis procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.
This service was performed 12 times for 12 patientsThis procedure involves the use of a special tool called an endoscope to remove or destroy abnormal tissue in the bladder or urethra. It's done to treat certain conditions and improve your health.
This service was performed 43 times for 37 patientsThis procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
This service was performed 664 times for 590 patientsThis procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.
This service was performed 12 times for 12 patientsThis procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.
This service was performed 324 times for 205 patientsImaging 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.
This service was performed 24 times for 24 patientsThis is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.
This service was performed 50 times for 45 patientsOnabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
This service was performed 41,615 times for 203 patientsThe insertion of a peripheral or gastric neurostimulator generator is a procedure that helps manage chronic pain or gastric conditions. A small device is surgically placed under the skin, which sends mild electrical signals to the nerves involved.
This service was performed 65 times for 65 patientsThe insertion of a sacral nerve neurostimulator electrode is a procedure to help manage chronic pain. A small device is placed under the skin near the lower back. This device sends mild electrical pulses to the nerves in the lower spine, helping to control pain signals.
This service was performed 20 times for 20 patientsThe insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
This service was performed 168 times for 74 patientsThis procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
This service was performed 19 times for 13 patientsThis procedure involves the surgical restoration of the body's lower passage and the tissue that separates it from the waste and urine disposal systems. It's done to improve comfort and function due to conditions like injury or aging.
This service was performed 12 times for 12 patientsThis procedure involves adjusting or removing a supportive device that was previously placed to help manage bladder control issues. It's done under anesthesia, and the goal is to enhance your comfort and improve your quality of life.
This service was performed 11 times for 11 patientsThis procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.
This service was performed 19 times for 19 patientsA revision of a peripheral or gastric neurostimulator generator is a procedure to adjust or replace a device implanted in your body. This device sends mild electrical signals to nerves, aiding in managing conditions like chronic pain or stomach issues. The adjustment improves its function.
This service was performed 15 times for 14 patientsA simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.
This service was performed 16 times for 15 patientsThis is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.
This service was performed 90 times for 82 patientsThis procedure involves the use of stitches to close an opening or wound in the lower part of the female reproductive system. It's typically done to repair a tear or cut, or as part of a surgical procedure. The goal is to promote healing and prevent complications.
This service was performed 11 times for 11 patientsAn ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
This service was performed 215 times for 212 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 28D2051578
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- December 20, 2024
- Certificate Expiration Date
- December 19, 2026
- Laboratory Director
- DR. ANDREW F. TRAINER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720334097, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720334097, enumerated as an "organization" on July 24, 2012.
The provider is located at 10707 PACIFIC ST STE 100 OMAHA, NE 68114 and the phone number is (402) 933-1844.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Oscar. Please consult your insurance carrier or call the provider to verify.