SPECTRUM PROSTHETICS LLC
NPI 1205986403
Prosthetic/Orthotic Supplier in Coos Bay, OR

Active since January 11, 2007
1963 THOMPSON RD, COOS BAY, OR 97420(541) 269-1773(541) 269-2790 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 19, 2026, May 14, 2026, May 22, 2025 and 2 more (5 updates tracked since 2020).

About Spectrum Prosthetics Llc NPPES

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

SPECTRUM PROSTHETICS LLC (NPI 1205986403), doing business as Spectrum Orthotics & Prosthetics, is a healthcare organization registered as a prosthetic/orthotic supplier in Coos Bay, Oregon and active in the NPI registry since January 2007. The organization lists Ivan Sabel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205986403
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSPECTRUM PROSTHETICS LLC
Location Address1963 THOMPSON RDCoos Bay, OR 97420-2040
Mailing Address1963 Thompson RdCoos Bay, OR 97420-2040 · (541) 269-1773 · Fax (541) 269-2790
Fax(541) 269-2790
Organization SubpartYesParent: Ortho Dev America Corp
Authorized OfficialIvan SabelCeo · (541) 269-1773
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMay 19, 20265 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1205986403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
1963 THOMPSON RD, Coos Bay, OR 97420

Other Names 1

Doing Business AsSpectrum Orthotics & Prosthetics

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Spectrum Prosthetics LLC carries, from the Medicare DMEPOS supplier directory.

Spectrum Prosthetics LLC

DMEPOS supplier · Coos Bay, OR

Does not accept Medicare assignment

Spectrum Prosthetics 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)20413661
Medicare Participant SinceJune 6, 2020
Supplier Location1963 Thompson RdCoos Bay, OR 97420
Supplier Specialties
MSC With Orthotic-Prosthetic

Medicare Product Categories

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

Other Providers at the Same Location NPPES

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

Prosthetic/Orthotic Supplier
1963 THOMPSON RD
COOS BAY, OR 97420

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 Spectrum Prosthetics LLC's NPI number?

The NPI number for Spectrum Prosthetics LLC is 1205986403. It was assigned to this organization in the NPPES registry on January 11, 2007. The provider is doing business as Spectrum Orthotics & Prosthetics.

Where is Spectrum Prosthetics LLC located?

Spectrum Prosthetics LLC is located at 1963 Thompson Rd, Coos Bay, OR 97420. The listed phone number is (541) 269-1773.

What is Spectrum Prosthetics LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Spectrum Prosthetics LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Spectrum Prosthetics 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 Spectrum Prosthetics LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Spectrum Prosthetics 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 Spectrum Prosthetics LLC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.