SPRINGFIELD ORTHOPAEDIC & PEDORTHIC SERVICES, LLC
NPI 1346419249
Prosthetic/Orthotic Supplier in Springfield, MO

Active since February 25, 2008
2100 S BRENTWOOD BLVD STE A, SPRINGFIELD, MO 65804(417) 888-0887 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Springfield Orthopaedic & Pedorthic Services, Llc NPPES

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

SPRINGFIELD ORTHOPAEDIC & PEDORTHIC SERVICES, LLC (NPI 1346419249) is a healthcare organization registered as a prosthetic/orthotic supplier in Springfield, Missouri and active in the NPI registry since February 2008. The organization lists Hunter Tully, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346419249
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSPRINGFIELD ORTHOPAEDIC & PEDORTHIC SERVICES, LLC
Location Address2100 S BRENTWOOD BLVD STE ASpringfield, MO 65804-2534
Mailing Address2100 S Brentwood Blvd Ste ASpringfield, MO 65804-2534 · (417) 888-0887
Organization SubpartNo
Authorized OfficialHunter TullyCeo · (954) 621-6887
Enumeration DateFebruary 25, 2008
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1346419249 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.

2100 S BRENTWOOD BLVD STE A, Springfield, MO 65804

Other Identifiers 1

Medicaid626363402MO

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Springfield Orthopaedic And Pedorth carries, from the Medicare DMEPOS supplier directory.

Springfield Orthopaedic And Pedorth

DMEPOS supplier · Springfield, MOOperated by Springfield Orthopaedic & Pedorthic Services, LLC

Does not accept Medicare assignment

Springfield Orthopaedic And Pedorth 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)20565323
Medicare Participant SinceJune 11, 2007
Supplier Location2100 S Brentwood Blvd Ste ASpringfield, MO 65804
Provider TypeCertified Orth/Pros/Pedorthist
Supplier Specialties
Orthotic Personnel

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
2100 S BRENTWOOD BLVD STE A
SPRINGFIELD, MO 65804

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 Springfield Orthopaedic & Pedorthic Services, LLC's NPI number?

The NPI number for Springfield Orthopaedic & Pedorthic Services, LLC is 1346419249. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Springfield Orthopaedic & Pedorthic Services, LLC located?

Springfield Orthopaedic & Pedorthic Services, LLC is located at 2100 S Brentwood Blvd Ste A, Springfield, MO 65804. The listed phone number is (417) 888-0887.

What is Springfield Orthopaedic & Pedorthic Services, LLC's specialty?

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

Does Springfield Orthopaedic & Pedorthic Services, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Springfield Orthopaedic And Pedorth 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 Springfield Orthopaedic & Pedorthic Services, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Springfield Orthopaedic & Pedorthic Services, 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 Springfield Orthopaedic & Pedorthic Services, LLC was last updated on October 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.