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COMPLETE PROSTHETICS & ORTHOTICS LLC
NPI 1407631310
Prosthetic/Orthotic Supplier in Boise, ID

Active since August 29, 2023
9632 W EMERALD ST STE A, BOISE, ID 83704(208) 609-6526 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Complete Prosthetics & Orthotics Llc NPPES

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

COMPLETE PROSTHETICS & ORTHOTICS LLC (NPI 1407631310) is a healthcare organization registered as a prosthetic/orthotic supplier in Boise, Idaho and active in the NPI registry since August 2023. The organization lists Janene Maughan, Clinic Admin, as its authorized official.

NPPES Registry Identity

NPI1407631310
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCOMPLETE PROSTHETICS & ORTHOTICS LLC
Location Address9632 W EMERALD ST STE ABoise, ID 83704-9762
Mailing Address9632 W Emerald St Ste ABoise, ID 83704-9762 · (208) 609-6526
Phone(208) 609-6526
Organization SubpartNo
Authorized OfficialJanene MaughanClinic Admin · (208) 609-6526
Enumeration DateAugust 29, 2023
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1407631310 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.
9632 W EMERALD ST STE A, Boise, ID 83704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Complete Prosthetics & Orthotics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 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.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20231020000917DME · Prosthetic PersonnelDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Complete Prosthetics & Orthotics carries, from the Medicare DMEPOS supplier directory.

Complete Prosthetics & Orthotics

DMEPOS supplier · Boise, IDOperated by Complete Prosthetics & Orthotics, LLC
✔

Accepts Medicare assignment

Complete Prosthetics & Orthotics agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20305499
Medicare Participant SinceAugust 22, 2023
Supplier Location9632 W Emerald St Ste ABoise, ID 83704
Phone(208) 609-6526
Provider TypeCertified Orth/Pros/Pedorthist
Supplier Specialties
Orthotic Personnel Prosthetic 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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Complete Prosthetics & Orthotics LLC's NPI number?

The NPI number for Complete Prosthetics & Orthotics LLC is 1407631310. It was assigned to this organization in the NPPES registry on August 29, 2023.

Where is Complete Prosthetics & Orthotics LLC located?

Complete Prosthetics & Orthotics LLC is located at 9632 W Emerald St Ste A, Boise, ID 83704. The listed phone number is (208) 609-6526.

What is Complete Prosthetics & Orthotics LLC's specialty?

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

Is Complete Prosthetics & Orthotics LLC enrolled in Medicare?

Yes. Complete Prosthetics & Orthotics LLC is registered in the Medicare PECOS enrollment system.

When is Complete Prosthetics & Orthotics LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Idaho, Prosthetic Personnel) is due for revalidation by October 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 Complete Prosthetics & Orthotics LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Complete Prosthetics & Orthotics accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Complete Prosthetics & Orthotics LLC accept?

Health plans from PacificSource Health Plans list Complete Prosthetics & Orthotics 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 Complete Prosthetics & Orthotics LLC was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.