SUMMIT ORTHOTICS & PROSTHETICS
NPI 1821286501
Prosthetic/Orthotic Supplier in Redmond, OR

NPI Status: Active since October 09, 2007

Contact Information

111 NW LARCH AVE STE 100
REDMOND, OR
ZIP 97756
Phone: (503) 923-2552
Fax: (503) 923-3224

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  • 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 Redmond, Oregon operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1821286501 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 2 years ago. The provider's is doing business as Summit Orthotics & Prosthetics. The authorized official of this NPI record is Todd J Nelson Cpo (President)

NPI
1821286501
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
111 NW LARCH AVE STE 100 REDMOND, OR 97756
Location Phone
(503) 923-2552
Location Fax
(503) 923-3224
Mailing Address
PO BOX 7339 SALEM, OR 97303
Mailing Phone
(503) 364-6006
Mailing Fax
(503) 923-3224
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2007
Last Update Date
04-04-2023
Code Navigator



Summit Orthotics & Prosthetics is a medicare supplier with PTAN 20575541 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
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TODD J NELSON CPO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 364-6006

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20575541
Accepts Medicare Assignment
YES
Specialities List
MSC With Orthotic Personnel, MSC With Prosthetic Personnel, MSC With Orthotic-Prosthetic.
Provider Type List
PEDORTHIC 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.
1821286501
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841481250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 4 + 8 + 1 + 2 + 5 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1821286501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821286501, enumerated in the NPI registry as an "organization" on October 09, 2007

The provider is located at 111 Nw Larch Ave Ste 100 Redmond, Or 97756 and the phone number is (503) 923-2552

This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

The provider might be accepting Accepts: Moda Health Plan, Inc. and PacificSource Health. 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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