PRODIGY MEDICAL, LLC
NPI 1073551131
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Homer, AK
NPI Status: Active since June 02, 2006
Contact Information
4107 HOHE ST
HOMER, AK
ZIP 99603
Phone: (907) 226-3400
Fax: (907) 226-3300
- Organization
- Durable Medical Equipment & Medical Supp...
- Oxygen Equipment & Supplies
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About PRODIGY MEDICAL, LLC
This page provides the complete NPI Profile along with additional information for Prodigy Medical, Llc, a provider established in Homer, Alaska operating as a Durable Medical Equipment & Medical Supplies, focusing in oxygen equipment & supplies . The healthcare provider is registered in the NPI registry with number 1073551131 assigned on June 2006. The practitioner's primary taxonomy code is 332BX2000X with license number 991850 (AK). The provider is registered as an organization and their NPI record was last updated December 2025. The authorized official of this NPI record is Berenice I Halpin (Partner)
- NPI
- 1073551131
- Provider Name
- PRODIGY MEDICAL, LLC
- Entity Type
- Organization
- Location Address
- 4107 HOHE ST HOMER, AK 99603
- Location Phone
- (907) 226-3400
- Location Fax
- (907) 226-3300
- Mailing Address
- 4107 HOHE ST HOMER, AK 99603
- Mailing Phone
- (907) 226-3400
- Mailing Fax
- (907) 226-3300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-02-2006
- Last Update Date
- 12-30-2025
- Code Navigator
Prodigy Medical, Llc is a medicare supplier with PTAN 20511605 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Continuous Passive Motion (CPM) Devices or Hospital Beds (Electric) or Hospital Beds (Manual) or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Canes and/or Crutches or Patient Lifts or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Ostomy Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Surgical Dressings.
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
Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies
- Taxonomy Code
- 332BX2000X
- Type
- Suppliers
- License No.
- 991850
- License State
- AK
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 332BP3500X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - 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 |
|---|---|---|---|
| 1598711 | MEDICAID (05) | AK |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20511605
- Accepts Medicare Assignment
- NO
- Specialities List
- Medical Supply Company Other.
- Provider Type List
- OXYGEN & EQUIPMENT.
- Competitive Bidding
- NO
Supplies List
- Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
- Continuous Passive Motion (CPM) Devices - Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
- Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
- Hospital Beds (Manual) - Fixed height hospital beds, Variable height hospital beds
- Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Patient Lifts - Ceiling lifts, Slings
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
- Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
- Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
- Respiratory Assist Devices -
- Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073551131, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073551131, enumerated as an "organization" on June 02, 2006.
The provider is located at 4107 HOHE ST HOMER, AK 99603 and the phone number is (907) 226-3400.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BX2000X and a focus in Oxygen Equipment & Supplies.
The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
