PACAYA BAY SURGERY CENTER LLC
NPI 1942454095
Clinic/Center - Ambulatory Surgical in Fort Myers, FL

Active since November 14, 2008CLIA 10D1098690 · Waiver
13981 MCGREGOR BLVD, SUITE 102, FORT MYERS, FL 33919(239) 275-4505(239) 275-9933 Get Directions Write a Review

NPPES record last updated: November 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacaya Bay Surgery Center Llc NPPES

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

PACAYA BAY SURGERY CENTER LLC (NPI 1942454095) is a healthcare organization registered as an ambulatory surgical in Fort Myers, Florida and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists John D. Ritrosky, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1942454095
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACAYA BAY SURGERY CENTER LLC
Location Address13981 MCGREGOR BLVD, SUITE 102Fort Myers, FL 33919
Mailing Address13981 Mcgregor Blvd, Suite 102Fort Myers, FL 33919 · (239) 275-4505 · Fax (239) 275-9933
Fax(239) 275-9933
Organization SubpartNo
Authorized OfficialJohn D. RitroskyMedical Director · (239) 275-4505
Enumeration DateNovember 14, 2008
NPI 1942454095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
13981 MCGREGOR BLVD, Fort Myers, FL 33919

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 10D1098690

Pacaya Bay Surgery Center LLC · Fort Myers, FL
Active · expires Apr 23, 2027
CLIA Number10D1098690
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorJohn D. Ritrosky
Laboratory Phone(239) 275-8898
Laboratory LocationPacaya Bay Surgery Center LLC13981 Mcgregor Blvd Ste 102, Fort Myers, FL 33919
CLIA data matches this NPI record on: Address Name
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.

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040
This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.
199 services178 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
121 services109 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
107 services91 patients
Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less 14020
This procedure involves repairing a wound on your scalp, arm, or leg by transferring a small piece of skin, 10.0 sq cm or less, from a different area of your body. This skin graft helps promote healing and minimizes scarring.
89 services80 patients
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm 14021
This procedure involves repairing a wound on your scalp, arm, or leg by moving skin from another part of your body. The skin transferred will cover an area between 10.1 to 30.0 square cm. This helps promote healing and reduce scarring.
63 services53 patients
Repair of wound of trunk by transferring skin, 10.0 sq cm or less 14000
This procedure involves repairing a wound on your body's trunk area (chest, abdomen, or back) using a skin graft. A piece of healthy skin, typically 10.0 square cm or less, is taken from another area of your body and transplanted to the wound site to aid healing.
60 services58 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.

Nurse Anesthetist, Certified Registered
13981 MCGREGOR BLVD, SUITE 102
FORT MYERS, FL 33919
Specialist
13981 MCGREGOR BLVD, SUITE 101
FORT MYERS, FL 33919
Nurse Anesthetist, Certified Registered
13981 MCGREGOR BLVD, PACAYA BAY SURGICAL CENTER
FORT MYERS, FL 33919

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 Pacaya Bay Surgery Center LLC's NPI number?

The NPI number for Pacaya Bay Surgery Center LLC is 1942454095. It was assigned to this organization in the NPPES registry on November 14, 2008.

Where is Pacaya Bay Surgery Center LLC located?

Pacaya Bay Surgery Center LLC is located at 13981 Mcgregor Blvd Suite 102, Fort Myers, FL 33919. The listed phone number is (239) 275-4505.

What is Pacaya Bay Surgery Center LLC's specialty?

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

Does Pacaya Bay Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1098690) is associated with this NPI, valid through April 23, 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 Pacaya Bay Surgery Center LLC was last updated on November 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.