ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
NPI 1073068458
Durable Medical Equipment & Medical Supplies in Daytona Beach, FL

Q: What is Orthopaedic Clinic Of Daytona Beach PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since August 16, 2016

1890 LPGA BOULEVARD, SUITE 240, DAYTONA BEACH, FL 32117(386) 255-4596(386) 258-3561 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2024, May 25, 2018, Mar 17, 2018 and 4 more (7 updates tracked since 2016).

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About Orthopaedic Clinic Of Daytona Beach Pa NPPES

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

ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA (NPI 1073068458) is a healthcare organization registered as a durable medical equipment & medical supplies in Daytona Beach, Florida and active in the NPI registry since August 2016. The organization lists Albert W Gillespy, President, as its authorized official.

NPPES Registry Identity

NPI1073068458

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameORTHOPAEDIC CLINIC OF DAYTONA BEACH PA

Location Address1890 LPGA BOULEVARD, SUITE 240Daytona Beach, FL 32117-7131

Mailing Address1865 Lpga BlvdDaytona Beach, FL 32117-7108 · (386) 255-4596 · Fax (386) 258-3561

Phone(386) 255-4596

Fax(386) 258-3561

Organization SubpartNo

Authorized OfficialAlbert W GillespyPresident · (386) 255-4596

Enumeration DateAugust 16, 2016

Last NPPES UpdateAugust 2, 20247 updates tracked since enumeration

NPPES CertifiedAugust 2, 2024

✔ NPI 1073068458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

1890 LPGA BOULEVARD, Daytona Beach, FL 32117

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orthopaedic Clinic Of Daytona Beach Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateFloridaEnrollment IDO20161014001667DME · Physician - Orthopedic/Orthopedic SurgeryDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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 Orthopaedic Clinic Of Daytona Beach PA's NPI number?

The NPI number for Orthopaedic Clinic Of Daytona Beach PA is 1073068458. It was assigned to this organization in the NPPES registry on August 16, 2016.

Where is Orthopaedic Clinic Of Daytona Beach PA located?

Orthopaedic Clinic Of Daytona Beach PA is located at 1890 Lpga Boulevard Suite 240, Daytona Beach, FL 32117. The listed phone number is (386) 255-4596.

What is Orthopaedic Clinic Of Daytona Beach PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Orthopaedic Clinic Of Daytona Beach PA enrolled in Medicare?

Yes. Orthopaedic Clinic Of Daytona Beach PA is registered in the Medicare PECOS enrollment system.

When is Orthopaedic Clinic Of Daytona Beach PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Orthopaedic Clinic Of Daytona Beach PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Orthopaedic Clinic Of Daytona Beach PA 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 Orthopaedic Clinic Of Daytona Beach PA was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.