SPECTRUM PROSTHETICS LLC
NPI 1205986403
Prosthetic/Orthotic Supplier in Coos Bay, OR
- Organization
- Prosthetic/Orthotic Supplier
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About SPECTRUM PROSTHETICS LLC
This page provides the complete NPI Profile along with additional information for Spectrum Prosthetics Llc, a provider established in Coos Bay, Oregon operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1205986403 assigned on January 2007. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Ivan Sabel (Ceo)
- NPI
- 1205986403 Verify this NPI
- Provider Name
- SPECTRUM PROSTHETICS LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1963 THOMPSON RD COOS BAY, OR 97420
- Location Phone
- (541) 269-1773
- Location Fax
- (541) 269-2790
- Mailing Address
- 1963 THOMPSON RD COOS BAY, OR 97420
- Mailing Phone
- (541) 269-1773
- Mailing Fax
- (541) 269-2790
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-11-2007
- Last Update Date
- 05-19-2026
- Code Navigator
Spectrum Prosthetics Llc is a medicare supplier with PTAN 20413661 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: 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:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 8000 - 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
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20413661
- Accepts Medicare Assignment
- NO
- Specialities List
- MSC With Orthotic-Prosthetic.
- 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 -
Reviews for SPECTRUM PROSTHETICS LLC
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
COOS BAY, OR 97420
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205986403, enumerated as an "organization" on January 11, 2007.
The provider is located at 1963 THOMPSON RD COOS BAY, OR 97420 and the phone number is (541) 269-1773.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.
