Civista Clinical Services, LLC
NPI 1689212151ActiveOrganization· Clinic/Center, Endoscopy· La Plata, MD
Clinic/Center, Endoscopy in La Plata, Maryland, registered in NPPES in December 2019, part of Civista Clinical Services, LLC. The authorized official on file is Albert Zanger, Chief Financial Officer. Medicare paid $230,219 for services to 429 patients in 2024.
Overview
| NPI | 1689212151 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Civista Clinical Services, LLC |
| NPI issued | Dec 16, 2019 |
| Last updated in NPPES | Mar 2, 2020 |
| Certified by provider | Mar 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Endoscopy Primary | 261QE0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Ambulatory Surgical Center (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 429 |
|---|---|
| Services billed | 622 across 15 procedure codes |
| Paid by Medicare | $230,219 |