PRODIGY MEDICAL, LLC
NPI 1073551131
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Homer, AK

Q: What is Prodigy Medical, LLC's NPI number?

The NPI number for Prodigy Medical, LLC is 1073551131. It was assigned to this organization in the NPPES registry on June 2, 2006.

Q: What is Prodigy Medical, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Active since June 02, 2006

4107 HOHE ST, HOMER, AK 99603(907) 226-3400(907) 226-3300 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, Oct 30, 2019, Oct 18, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Prodigy Medical, Llc NPPES

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

PRODIGY MEDICAL, LLC (NPI 1073551131) is a healthcare organization registered as an oxygen equipment & supplies in Homer, Alaska and active in the NPI registry since June 2006. The organization lists Berenice I Halpin, Partner, as its authorized official.

NPPES Registry Identity

NPI1073551131

Entity TypeOrganization

Primary Taxonomy332BX2000X

Legal Business NamePRODIGY MEDICAL, LLC

Location Address4107 HOHE STHomer, AK 99603-7008

Mailing Address4107 Hohe StHomer, AK 99603-7008 · (907) 226-3400 · Fax (907) 226-3300

Phone(907) 226-3400

Fax(907) 226-3300

Organization SubpartNo

Authorized OfficialBerenice I HalpinPartner · (907) 299-3500

Enumeration DateJune 2, 2006

Last NPPES UpdateDecember 30, 20254 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1073551131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers

Taxonomy Code332BX2000X

License✔ Licensed in AK · 991850

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X

4107 HOHE ST, Homer, AK 99603

Open in Google Maps ↗

Other Identifiers 1

Medicaid1598711AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 20

Medicare supplier enrollment and the product categories Prodigy Medical LLC carries, from the Medicare DMEPOS supplier directory.

Prodigy Medical LLC

DMEPOS supplier · Homer, AK

⋮

Does not accept Medicare assignment

Prodigy Medical LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20511605

Medicare Participant SinceAugust 12, 2013

Supplier Location4107 Hohe StHomer, AK 99603

Phone(907) 226-3400

Provider TypeOxygen & Equipment

Supplier Specialties

Medical Supply Company Other

Medicare Product Categories

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

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Leave this field empty

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ISABEL DUTRA D.P.T.

Physical Therapist

4107 HOHE ST
HOMER, AK 99603

Kenai Peninsula Borough (559) 381-0245

MS. ANETTE M AVANT PT

Specialist

4107 HOHE ST
HOMER, AK 99603

Kenai Peninsula Borough (907) 235-0687

MR. CHARLES ALLEN HURST III P.T.

Physical Therapist

4107 HOHE ST
HOMER, AK 99603

Kenai Peninsula Borough (907) 235-0687

MRS. TERESA M OLESCH P.T.

Physical Therapist

4107 HOHE ST
HOMER, AK 99603

Kenai Peninsula Borough (907) 235-0687

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 Prodigy Medical, LLC's NPI number?

The NPI number for Prodigy Medical, LLC is 1073551131. It was assigned to this organization in the NPPES registry on June 2, 2006.

Where is Prodigy Medical, LLC located?

Prodigy Medical, LLC is located at 4107 Hohe St, Homer, AK 99603. The listed phone number is (907) 226-3400.

What is Prodigy Medical, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Does Prodigy Medical, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Prodigy Medical LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Prodigy Medical, LLC accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Prodigy Medical, LLC 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 Prodigy Medical, LLC was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.