PACIFIC NORTHWEST SURGERY CENTER LLC
NPI 1912641788
Clinic/Center - Ambulatory Surgical in Springfield, OR

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

The NPI number for Pacific Northwest Surgery Center LLC is 1912641788. It was assigned to this organization in the NPPES registry on April 26, 2022.

Q: What is Pacific Northwest 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 April 26, 2022CLIA 38D2260805 · Waiver

2445 BEVERLY ST, SPRINGFIELD, OR 97477(541) 284-3052(541) 780-6645 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 12, 2023, Apr 26, 2022 (2 updates tracked since 2022).

On this page

About Pacific Northwest Surgery Center Llc NPPES

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

PACIFIC NORTHWEST SURGERY CENTER LLC (NPI 1912641788) is a healthcare organization registered as an ambulatory surgical in Springfield, Oregon and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Gregory Anthony Moore, Partner, as its authorized official.

NPPES Registry Identity

NPI1912641788

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePACIFIC NORTHWEST SURGERY CENTER LLC

Location Address2445 BEVERLY STSpringfield, OR 97477-1910

Mailing Address2445 Beverly StSpringfield, OR 97477-1910 · (541) 284-3052 · Fax (541) 780-6645

Phone(541) 284-3052

Fax(541) 780-6645

Organization SubpartNo

Authorized OfficialGregory Anthony MoorePartner · (541) 352-3661

Enumeration DateApril 26, 2022

Last NPPES UpdateMay 12, 20232 updates tracked since enumeration

NPPES CertifiedMay 12, 2023

✔ NPI 1912641788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2445 BEVERLY ST, Springfield, OR 97477

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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 38D2260805

Pacific Northwest Surgery Center LLC · Springfield, OR

Active · expires May 22, 2028

CLIA Number38D2260805

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 23, 2026

Certificate Expiration DateMay 22, 2028

Laboratory DirectorCorey B. Plumb

Laboratory Phone(541) 284-3052

Laboratory LocationPacific Northwest Surgery Center LLC2445 Beverly St, Springfield, OR 97477

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 17

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.

411 services127 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.

263 services170 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.

253 services129 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.

183 services68 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.

139 services121 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

113 services78 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.

85 services33 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

60 services51 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628

This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.

47 services47 patients

Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level 64479

This procedure involves injecting anesthetic or steroid medication into a specific nerve root in the upper or middle spine. It's performed using imaging technology for precise placement. The aim is to reduce inflammation and alleviate pain.

33 services26 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

28 services27 patients

Insertion of peripheral nerve neurostimulator electrode through skin 64555

This procedure involves placing a small electrode under the skin to stimulate peripheral nerves. It helps manage chronic pain by sending mild electrical signals to the nervous system, interrupting pain signals before they reach the brain.

24 services11 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

21 services14 patients

Fusion of pelvic joint using imaging guidance 27279

This procedure involves joining or "fusing" the pelvic joint to alleviate pain or stabilize the area. It's performed under imaging guidance, which helps the doctor visualize the area and ensure precise placement of medical tools. This can improve recovery and outcome.

20 services18 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.

18 services18 patients

Destruction of nerve branches of knee using imaging guidance 64624

This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.

14 services12 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

13 services13 patients

Other Providers at the Same Location NPPES 3

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

MR. JEFFREY WAHLIG

Specialist/Technologist, Other (Surgical Assistant)

2445 BEVERLY ST
SPRINGFIELD, OR 97477

Lane County (541) 284-3052

EMERALD VALLEY ANESTHESIA

Nurse Anesthetist, Certified Registered

2445 BEVERLY ST
SPRINGFIELD, OR 97477

Lane County (541) 284-3052

ADAM TURMAN CRNA

Nurse Anesthetist, Certified Registered

2445 BEVERLY ST
SPRINGFIELD, OR 97477

Lane County (541) 844-4282

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 Pacific Northwest Surgery Center LLC's NPI number?

The NPI number for Pacific Northwest Surgery Center LLC is 1912641788. It was assigned to this organization in the NPPES registry on April 26, 2022.

Where is Pacific Northwest Surgery Center LLC located?

Pacific Northwest Surgery Center LLC is located at 2445 Beverly St, Springfield, OR 97477. The listed phone number is (541) 284-3052.

What is Pacific Northwest Surgery Center LLC's specialty?

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

Does Pacific Northwest Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2260805) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pacific Northwest Surgery Center LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Pacific Northwest 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 Pacific Northwest Surgery Center LLC was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

About Pacific Northwest Surgery Center Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 38D2260805

Areas of Expertise CMS Part B claims 17

Other Providers at the Same Location NPPES 3

Frequently Asked Questions NPPES & CMS

What is Pacific Northwest Surgery Center LLC's NPI number?

Where is Pacific Northwest Surgery Center LLC located?

What is Pacific Northwest Surgery Center LLC's specialty?

Does Pacific Northwest Surgery Center LLC hold a CLIA laboratory certificate?

What insurance does Pacific Northwest Surgery Center LLC accept?

When was this NPI record last updated?

Certificate of Waiver 38D2260805