SUMMIT ORTHOTICS & PROSTHETICS
NPI 1639367311
Prosthetic/Orthotic Supplier in Corvallis, OR
NPI Status: Active since October 09, 2007
Contact Information
400 NW WALNUT BLVD
SUITE 100
CORVALLIS, OR
ZIP 97330
Phone: (541) 738-2462
Fax: (541) 738-0664
- Organization
- Prosthetic/Orthotic Supplier
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About SUMMIT ORTHOTICS & PROSTHETICS
This page provides the complete NPI Profile along with additional information for Summit Orthotics & Prosthetics, a provider established in Corvallis, Oregon operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1639367311 assigned on October 2007. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Summit Orthotics & Prosthetics. The authorized official of this NPI record is Mr. Todd J Nelson Cpo (President)
- NPI
- 1639367311
- Provider Legal Name
- WILLAMETTE ORTHOTICS & PROSTHETICS LLC
- Other Organization Name
- SUMMIT ORTHOTICS & PROSTHETICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 400 NW WALNUT BLVD SUITE 100 CORVALLIS, OR 97330
- Location Phone
- (541) 738-2462
- Location Fax
- (541) 738-0664
- Mailing Address
- PO BOX 7339 SALEM, OR 97303
- Mailing Phone
- (503) 364-6006
- Mailing Fax
- (541) 738-0664
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2007
- Last Update Date
- 09-06-2016
- Code Navigator
Summit Orthotics & Prosthetics is a medicare supplier with PTAN 21610431 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.
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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - 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 |
|---|---|---|---|
| 3976240008 | MEDICARE PIN (08) | ||
| 3976240008 | MEDICARE NSC (07) |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 21610431
- Accepts Medicare Assignment
- YES
- Specialities List
- MSC With Orthotic-Prosthetic, Orthotic Personnel, Prosthetic Personnel.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
- Lymphedema Compression Treatment Items -
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 3 | 6 | 7 | 3 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 6 | 6 | 14 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 6 + 6 + 1 + 4 + 3 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1639367311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629010996 | DR. JESS W. HICKERSON M.D. Individual | Obstetrics & Gynecology (Gynecology) | 400 NW WALNUT BLVD SUITE 300 CORVALLIS, OR 97330 (541) 768-4680 |
| 1043321953 | HANGER PROSTHETICS & ORTHOTICS WEST INC Organization | Prosthetic/Orthotic Supplier | 400 NW WALNUT BLVD SUITE 100 CORVALLIS, OR 97330 (541) 757-8543 |
| 1316212624 | GOOD SAMARITAN HOSPITAL CORVALLIS Organization | Obstetrics & Gynecology | 400 NW WALNUT BLVD SUITE 300 CORVALLIS, OR 97330 (541) 768-4680 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639367311, enumerated in the NPI registry as an "organization" on October 09, 2007
The provider is located at 400 Nw Walnut Blvd Suite 100 Corvallis, Or 97330 and the phone number is (541) 738-2462
This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X
The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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