WEST ASC, LLC
NPI 1720388465
Clinic/Center - Ambulatory Surgical in Camillus, NY

Q: What is West ASC, LLC's NPI number?

The NPI number for West ASC, LLC is 1720388465. It was assigned to this organization in the NPPES registry on October 28, 2010. The provider is doing business as Camillus Surgery Center.

Q: What is West ASC, LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for West ASC, LLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 28, 2010CLIA 33D1008369 · Waiver

5700 W GENESEE ST, SUITE 11, CAMILLUS, NY 13031(315) 701-9378(315) 701-0869 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About West Asc, Llc NPPES

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

WEST ASC, LLC (NPI 1720388465), doing business as Camillus Surgery Center, is a healthcare organization registered as an ambulatory surgical in Camillus, New York and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michelle Combs, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1720388465

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameWEST ASC, LLC

Location Address5700 W GENESEE ST, SUITE 11Camillus, NY 13031-3200

Mailing Address5700 W Genesee St, Suite 11Camillus, NY 13031-3200 · (315) 701-9378 · Fax (315) 701-0869

Phone(315) 701-9378

Fax(315) 701-0869

Organization SubpartNo

Authorized OfficialMichelle CombsBilling Manager · (315) 477-3638

Enumeration DateOctober 28, 2010

Last NPPES UpdateJanuary 29, 2026

NPPES CertifiedJanuary 29, 2026

✔ NPI 1720388465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

5700 W GENESEE ST, Camillus, NY 13031

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Other Names 1

Doing Business AsCamillus Surgery Center

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Asc, 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

StateNew YorkEnrollment IDO20110614000469Non-DME Part B · Ambulatory Surgical CenterDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to West ASC, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andre Avsyanik, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1912209339

321 GENESEE ST
Oneida, NY 13421

(315) 363-6000

✔ Accepts Medicare33 mi

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

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 33D1008369

West ASC LLC Dba Camillus Surgery Center · Camillus, NY

Active · expires Mar 26, 2027

CLIA Number33D1008369

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 21, 2003

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Martin A. Schaeffer

Laboratory Phone(315) 701-9378

Laboratory LocationWest ASC LLC Dba Camillus Surgery Center5700 W Genesee St - Suite 11, Camillus, NY 13031

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 8

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 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.

99 services45 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

93 services60 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.

81 services57 patients

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.

76 services70 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

33 services23 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

17 services17 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 West ASC, LLC's NPI number?

The NPI number for West ASC, LLC is 1720388465. It was assigned to this organization in the NPPES registry on October 28, 2010. The provider is doing business as Camillus Surgery Center.

Where is West ASC, LLC located?

West ASC, LLC is located at 5700 W Genesee St Suite 11, Camillus, NY 13031. The listed phone number is (315) 701-9378.

What is West ASC, LLC's specialty?

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

Is West ASC, LLC enrolled in Medicare?

Yes. West ASC, LLC is registered in the Medicare PECOS enrollment system.

When is West ASC, 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 (New York, 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.

How many clinicians bill Medicare through West ASC, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to West ASC, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1008369) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West ASC, LLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.