CUSTOM DME
NPI 1255570099
Anaplastologist in Bountiful, UT
About Custom Dme NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CUSTOM DME (NPI 1255570099) is a healthcare organization registered as an anaplastologist in Bountiful, Utah and active in the NPI registry since February 2009. The organization lists Paul Benjamin Tanner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Custom Dme is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Custom Dme, LLC carries, from the Medicare DMEPOS supplier directory.
Custom Dme, LLC
DMEPOS supplier · Bountiful, UTOperated by Custom DmeDoes not accept Medicare assignment
Custom Dme, 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.
Medicare Product Categories
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Custom Dme's NPI number?
The NPI number for Custom Dme is 1255570099. It was assigned to this organization in the NPPES registry on February 18, 2009. The provider is also known as FeelingWholeAgain.com.
Where is Custom Dme located?
Custom Dme is located at 1455 S 500 W Ste D, Bountiful, UT 84010. The listed phone number is (801) 997-0545.
What is Custom Dme's specialty?
The primary specialty registered for this NPI is Anaplastologist with taxonomy code 229N00000X.
Is Custom Dme enrolled in Medicare?
Yes. Custom Dme is registered in the Medicare PECOS enrollment system.
When is Custom Dme's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Utah, Ocularist) is due for revalidation by December 31, 2026. 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.
Does Custom Dme accept Medicare assignment for medical equipment?
No. As a Medicare medical equipment supplier, Custom Dme, 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 Custom Dme accept?
Health plans from Select Health list Custom Dme 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 Custom Dme was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.
# Custom Dme · NPI 1255570099
Anaplastologist organization in Bountiful, Utah. Organization record, active in the CMS NPPES registry since February 18, 2009.
## Identity
- **NPI:** 1255570099 (Entity type: Organization)
- **Enumerated:** February 18, 2009
- **Primary specialty:** Anaplastologist · taxonomy 229N00000X
- **Also known as:** FeelingWholeAgain.com (Other Name)
- **Organization subpart:** No
- **Authorized official:** Paul Tanner, OWNER
## Practice location
- **Address:** 1455 S 500 W STE D, Bountiful, UT 84010-8252
- **Phone:** (801) 997-0545 · **Fax:** (888) 977-5399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, Utah, Ocularist) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1255570099) · Data from the CMS NPPES public registry.